purim 2018.jpg

Join us for a Purim celebration!
Wednesday, February 28th @ 6:00 pm

Adult $15 ($18 at the door), Child $12, Sponsor $180

RSVP FORM

Registration Info
Full Name   Email
Address   Phone
City, State, Zip      
         
Payment Info

Please charge my card $ for guest(s). ($18/$15 per adult, $12 per child) or
I would like to become a sponsor for $180.
Optional - In honor/memory of

Credit Card Type   Card Number
Expiration   CVV