RSVP FORM Full Name* First Name Last Name E-mail* Phone Number* Area Code Phone Number Number of attendees* Please choose time for megillah reading* 6:30 pm 8:00 pm Friday February 26 Yes! I would also like to attend the Friday morning megillah reading & Breakfast We appreciate your support to help cover this event. Suggested donation of $25 per person. $100 Co sponsor. $180 Sponsor. Donation amount $ Payment optional Credit Card Paypal Check Credit Card Visa MasterCard American Express Discover Credit Card Type Credit Card Number Security Code 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Expiration Year Paypal has been selected. Payment will take place on the next page. Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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