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Star Wars Purim Party

Grand Purim Celebration Registration Form
Notice: Discounted advanced registration rates are in effect until Friday, March 11.
Sponsors:
Jack & Suzy Berkowitz
The Muhlrad Family
Adam Johnstone
Lee & Michelle Sentell
Gil & Phyllis Goetz
Henry & Samira Galler
Ira & Karen Kanis
Steve & Anita Reich
Manny & Rachel Reiser
Sid & Jodi Hershkowitz
Sponsors of $100 or more will be listed here
Full Name
First NameLast Name
E-mail*
Phone Number
Area CodePhone Number
Fee - Adults $22Ages 12+
Fee - Children (2-12) $18Children under 2 enter free
Notes
Donation / SponsorsDonations $100+ will be listed as event sponsors
$36$54$100$180$360$540$800$1000$1800
Total
$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

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