Purim Party Monday, March 2 | 6:15 pm Chabad of Putnam 5 Fair Street Carmel NY 10512 Payment by Donation Full Name* First Name Last Name E-mail* Phone Number* Number of attendees: No official charge - donations appreciated 1 Participant 2 Participants3 ParticipantsFamily I/We would like to join as a sponsor $180 Queen Esther Sponsor | $360 Mordechai Sponsor $25 USD$36 USD$50 USD$72 USD$100 USD$180 USD$360 USD Total Charge $0.00 USD Yes, I'd like to donate the cost of processing this transaction by adding 3% Payment Method Credit Card Paypal Cash or Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration 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 10512Please note: Payment must be received by March 1 to get early bird pricing Comments? Questions? I would like to receive news and updates by email Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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