Your Information Full Name: Address: City, State, Zip: Home Phone: Cell Phone: E-mail: Purim Parties Megillah Reading • February 28, 2018 • 5:30 PM # of Attendees 1 2 3 4 5 6 7 8 9 10 Megillah Reading | Shalach Manot | Grand Purim Feast & Dress-up! • March 1, 2018 • 5:30 PM How many people will be attending? Adult Child Family I would like to be a sponsor of this year's Purim Festivities at Chabad of the Central Valley Sponsorship: Esther's Party $180 | Mordechai's Pride $100 | Dress Up $54 | Hamantashen $36 | Gragger $18 | Other __ Payment Information Card Type Please Select Visa MasterCard Amex Card Number Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 Month Year 2016 2017 2018 2019 2020 CVV Security Code Amount to be charged Thank you for helping Chabad spread the Purim Spirit & Message! This page uses 128 bit SSL encryption to keep your data secure.
