Seder RSVP Form -

Seder RSVP Form

Choose an Event *

Pesach Seder April 10th Pesach Seder April 11th

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Adults (Suggested donation $54) *

Children (suggested Donation $36 (Under 12 years) *

Additional Donation *

Total Amount to charge *

No one will be turned down due to lack of funds. If you have difficulty with the suggested donation, please contact us so we can make sure there is a place for you at the seder.
If you know anyone who needs a place at the Seder, please let us know.
We want as many people to participate as possible. Therefore, these amounts do not cover the full cost of the Community Seders. Please consider an additional donation, as well as sponsorships to cover those who can not afford a seder.

Sponsorship Opportunities
$____ Any amount appreciated
$180: "4 Cups" Sponsor
$360: Wine Sponsor
$750: Matzah Sponsor
$1800: Seder Sponsor

I Would Like to Contribute via

I would like to contribute via *

Check (Mail to 6721 NW 26th Way, Fort Lauderdale FL 33309) Credit Card (below) Paypal to JewishPalmAire@Gmail.com

Credit Card Number *

Billing Address *

Exp Date *

CVV # (Security Code) *

Names of Atendees & Addtl Comments *

Submit

Or you can donate through PayPal