PURIM REGISTRATION FORM

This form is currently closed.

Purim in Israel Feast - Sunday, March 24, 2024
Purim Feast - $40 per adult, $15 per child, max $110 per family
Event sponsor - $180, $360, $540
Full Name*
First Name Last Name
E-mail*
Phone Number*
Please enter EITHER number of adults and kids attending and the form will calculate the total:
OR put 1 under Family max, you'll be charged $110 per family
How many adults $40 ea
How many kids, 12 and under $15 ea
Family max $110 ea family
PAYMENT

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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Purim in Israel Feast - Sunday, March 24, 2024