Celebrate Purim Ambassador of Joy Purim Masquerade and Magical Entertainment Megillah Readings Purim Farbrengens Purim Feast Purim Feast Date* MM slash DD slash YYYY Name* First Last Contact Number*Email Address* Street* City* State* Zip* Adult Quantity Price: $50.00 Quantity Child Quantity Price: $30.00 Quantity Family Max – Price $180 Yes No Please note how many adults and children will be coming.* Who would you like to sit with? (We will try our best to accommodate) Sponsor a Family Quantity Price: $95.00 Quantity Total $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Expiration Date Security Code Cardholder Name Family Max Δ
