Purim-at-the-Circus.jpg

Yes we're Joining you for the Purim in the Galaxy - Star Wars!

It's simple to RSVP:


First Name: Last Name:

How many people will be attending? Adults: Children:

You know me already. Skip this section.

Address: City, State, Zip:

Email Address: Phone:


Payment Information:

Cost: Pay by March 20th - Adult $13 Child $10 (after March 20th - Adult $15 Child $12)
Sponsor $180.00

* For your protection, this is a secure web form.

Credit Card: Master Card Visa Amex Disc

Name on credit card:
Card Number:
Exp:
CVV Security Code: Amount to charge:


Comments:



I will mail a check to
Chabad Chabad Jewish Center of Longmont
195 S. Main St Suite #4 Longmont, CO 80501

Co-Sponsored by Jewish Colorado.