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Purim 2012

Purim 2012

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RSVP Online 

  We will be attending the annual Purim party!
Number of adults:     Number of children: 

$10 per person    |      $36 family      |        $180 sponsor 

THIS FORM IS NO LONGER ACTIVE 

[1]  PERSONAL INFO

 Last Name

  First Name(s)
 Address   Address 2
 City       State
 Zip  
 Phone   E-mail


[2]  PAYMENT (OPTIONAL)

 Donation Amount  

Comments (optional)

 Card Type  
 Card Number  
 Expiration  

 

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