| RSVP for Purim in the Palace! | ||||
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First Name |
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Last Name |
Phone |
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How many adults |
How many Children |
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I would like to Volunteer! Please contact me! |
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| Payment Information | ||||
| Admission $15/person $45/family. | ||||
| Please consider sponsoring the event for $180 (includes a family admission) | ||||
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I Would Like to Sponsor a Family for an Additional $36 |
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| Billing Address | City, State, Zip | |||
| Charge Amount | Exp Date |
CVV |
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