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Purim Registration

Tickets for Purim Celebration 2020
Full Name*
First NameLast Name
E-mail*
I would like to receive news and updates by email
Adult TicketsCost $15 each.
Children 2-12Cost $10 each.
Children under 2 are free; do not include them.
Names of Participants
SponsorshipOptional
$180 CAD$360 CAD
TOTAL
$15.00 CAD

Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Should be Empty:

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