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Purim Celebration

Dust off your costumes and prepare for an evening filled with laughter, joy, and Purim spirit, as you join us for our annual Purim celebration!

Tuesday, March 3
5:00pm - 7:00pm

at the Molly Blank Jewish Community Center
930 W University Avenue

Cost:
Adult: $10
Child: $8
Family: $36

Sponsor:
$100
Full Name*
First Name Last Name
E-mail*
Phone Number*

Address*

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

Adults Attending
$10 per adult
Children Attending
$8 per adult
Families Attending
$36 per family
Total guests in family
Sponsor: $100

$100
Do any guests in your party have a dietary restrictions?*

YesNo
Please Describe* Please provide name of guest & their dietary restriction
Total

$0.00

Payment

Credit Card

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

Should be Empty:

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