Purim with Chabad Jewish Center

Purim at sea RSVP
First Name
 		Last Name
Address
City
State
Zip Code
Phone
Email
 
RSVP INFO
Amount Adult Attendees
Amount of Children Attendees
Adult Name 1
Child Name 1
Adult Name 2
Child Name 2
Adult Name 3
Child Name 3
Adult Name 4
Child Name 4
Adult Name 5
Child Name 5
Adult Name 6
Child Name 6

 
Payment Info
Cost: $18/adult $12/child 
Early Bird Discount: $15/adult $10/child  before February 19
Card Number
Expiration
CVV Code
Total Amount to Charge Card

 


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Megillah Readings Purim at Sea Purim Guide