Reservations Full Name* First Name Last Name E-mail* Phone Number* Area Code Phone Number I would like to:* RSVP and pay the suggested amount per personRSVP and choose an amount to pay Number of Adults* $30 Number of Adults* Number of Children $15 Number of Children RSVP amount:* $ Be a Sponsor! $36 to help cover the cost$108 to sponsor 2 people$180 Purim co Sponsor$360 Purim in the 20s Sponsor Payment method* Credit Card Paypal Other Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration YearPaypal has been selected. Payment will take place on the next page.Please mail check to:Chabad of Islip283 Ocean AveIslip, NY 11751 Total* $0.00 Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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