Erev Purim Dinner - Form - Temple Beth Am

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Erev Purim Dinner

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March 13
Erev Purim Dinner at 7:30 PM
Dairy Dinner - Suggested Donation

First Name

Last Name

Email

Phone Number

* # of Adults Attending

# of Children ages 13-17

Suggested Donation for Adults $36/adult

Please enter a donation amount

Suggested Donation for Kids 13-17 is $20/kid

Please enter a donation amount

# of Children ages 7-12

# of Children ages 3-6

Suggested Donation for Kids 7-12 is $15/kid

Please enter a donation amount

Names of Adult Attendees:

Please enter first name followed by last name

Names of Children Attendees:

Please enter first name followed by last name (age in parenthesis)

Please list dietary restrictions/allergies

This is a dairy dinner

Total

Sat, June 14 2025 18 Sivan 5785

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