Please Join Us for Dinner before the Megillah Reading. Wednesday, Feb. 28, 5:30 pm! Dinner is $5 per person; children enrolled in the religious school are free!
Your Name: *
Your answer
Email or Phone Number: *
Your answer
Enter the name(s) of those attending:
Your answer
# of Adults attending:
Your answer
# and Ages of Children (18 or younger) attending:
Your answer
Would you like to be a sponsor for our Purim dinner? If so, please consider these options:
TOTAL DUE: $ *
Your answer
Payment Option: *
Thank your for making your reservation!
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Heskaamuna.org. Report Abuse - Terms of Service - Additional Terms