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Purim RSVP

Purim 5783/2023

March 7, 2023

Megillah Reading @ 5:00 PM
Dinner @ 5:30 PM

Adults Earlybird (before March 1): $45 - Kids $25
After: Adults $60 - Kids $35
FULL NAME*
EMAIL ADDRESS*
CELL NUMBER*

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

NUMBER OF ADULTS - $45*
NUMBER OF KIDS (3-12) - $25*

Payment

Credit Card

We accept Visa, MasterCard, American Express
Credit Card Number
Expiration Month	Expiration Year

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