Printed fromChabadOrange.com

ב"ה

Purim in the 60s

Grand Community Purim Celebration Registration Form
- Adults: $25
- Child (2-12): $15
- Chabad Hebrew School Students: FREE
- Sponsorships Available
Feeling the pinch? We never want finances to get in the way of participating. If the price is an issue, simply register using this link instead, let us know how many people will be attending, and choose an amount you can afford to pay.

Feeling generous? Be a Purim sponsor! Even if you can't make the event, you can help make it for others. To be a sponsor, please see below.

Purim Sponsors (to date):
Jack & Suzy Berkowitz
Henry & Samira Galler
Lee & Michelle Sentell
Maria Rus Rabinowitz
Ira & Karen Kanis
Manny & Rachel Reiser
Andrew & Elise Friedman
Sponsors of $100 or more will be listed here
Full Name

First Name Last Name
E-mail*
Phone Number

Area Code Phone Number
How many adults (ages 12+)? $25 per adult
Registration for Hebrew School students attending Free of charge. Please list their names
How many children (ages 2-12)? $15 per child. Age 2 and under are free. Chabad Hebrew School Students are Free
Comments?
Donation / Sponsors Donations $100+ will be listed as event sponsors

$54$100$180$360$540$800$1000$1800$3600
Total

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment

Credit Card

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

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

I would like to receive news and updates by email
Should be Empty:

This page uses TLS encryption to keep your data secure.