Purim NYC

Purim Registration

First Name *

Last Name *

Email *

Phone

Adults attending *

Kids attending

Optional Donation

OPTIONAL donation to help cover the event costs: $25 Adult | $15 Child | $65 Family

I'd like to participate in the event costs:

$25

$50

$65

Purim Co-Sponsor $360

Purim Sponsor $720

Other Amount

Total

Comments

Notes or requests