Purim Celebration Registration
Sunday March 24

Event sign up

Number of Participants *

Optional Donation

$ 18.00

$ 36.00

$ 54.00

$ 72.00

- none -

Other Amount $

Total

Name and Address

First Name *

Last Name *

Phone *

Email *

Street Address (Home) *

City (Home) *

Postal Code (Home)

Country (Home)

State (Home)

office@JewishEmeryville.com | 510-859-8808 | Non Profit 501 (C) (3) | CHABAD EMERYVILLE P.O. Box 99784 Emeryville, CA 94662