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Purim Party

March 3, 2026

Section I - Contact Information
Full Name*
First Name Last Name
E-mail*
Cell Phone Number*

Area Code Phone Number
Section II - Reservation Details (INDIVIDUAL)
Number Adults:* If doing Family/Sponsor, then enter "0"
$30
Number Children:* If doing Family/Sponsor, then enter "0"
$20
Reservation Details - FAMILY / SPONSOR
Group Rate* If you did individual reservation, then click "N/A"

N/AFamily Rate ($110)Sponsor ($360)
Number Adults: Family Rate & Sponsor
Included
Number Children: Family Rate & Sponsor
Included
Additional Donation: THANK YOU!

$36$54$180$540$1000$1800
Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%
Section III - Payment Information

Payment

Credit Card

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

Should be Empty:

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