A Disney Purim Tuesday, March 10 | 5:30 pm Chabad of Putnam 5 Fair Street Carmel NY 10512Full Name*First NameLast NameE-mail*Phone Number*Area CodePhone NumberPre-Registration & Payment by March 8th: $15 Adult | $10 Child (3-12) After March 8th and door Price: $18 Adult | $12 ChildAdults $15 - After Mar 8th $18Children $10 - After Mar 8th $12$180 Queen Esther Sponsor $360 Mordechai Sponsor I want to sponsor$100 USD$180 USD$360 USDTotal Charge$0.00 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 Month2020202120222023202420252026202720282029Expiration YearPaypal has been selected. Payment will take place on the next page.Please note payment must be received by February 25th to get early bird priceComments? 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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