Purim Party Thursday, March 17| 4:30 pm Chabad of Putnam 5 Fair Street Carmel NY 10512Full Name*First NameLast NameE-mail*Phone Number*Area CodePhone NumberNumber of attendees:Cost18/FamilyI/We would like to join as a sponsor$180 Queen Esther Sponsor | $360 Mordechai Sponsor$100 USD$180 USD$360 USDTotal Charge$18.00 USDYes, I'd like to donate the cost of processing this transaction by adding 3%Payment MethodCredit Card Paypal Cash or Check Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2022202320242025202620272028202920302031Expiration YearPaypal has been selected. Payment will take place on the next page.E.g. Send Check, Pay Cash, Pay at Door, etc. Make checks payable to: Chabad of Putnam 5 Fair Street Carmel NY 10512Comments? Questions?I would like to receive news and updates by emailSubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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