Purim 2019

Full Name*
E-mail*
Phone Number*
Cost: $15/Adult * $8/Child * $45/Family (max)
Number of Adults
Number of Children

Age 2+
Names of attendees
Sponsorship (includes tickets for 8)

Yes, I’d like to be a Hamantash Sponsor for $180 Yes, I’d like to be a Gragger Sponsor for $360 Yes, I’d like to be a Megillah Sponsor for $500
Total amount*

$

Payment*

Credit Card Check

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