Purim Unhinged!

Registration From below flyer

Register today!

Name of First Attendee(Required)

First Last

Names of Additional Attendees

First

Last

One line per person. Use the '+' to add more lines.

Address(Required)

Street Address City State ZIP Code

Email(Required)

Cell Phone(Required)

Additional Phone

Affiliation(s)(Required)

Jewish Center of Kew Gardens Hills (JCKGH)

Israel Center of Conservative Judaism (ICCJ)

Yedidya Academy

Other

Please specify additional affiliation(s)

Additional Notes

Cover: $18 couple, $9 single.
All proceeds to Masbia Queens Soup Kitchen & Food Pantry

Please check that the number of people in your party is correct before proceeding to payment.

Total Number of People Attending(Required)

cover charge

Discount

Price: $0.00

Total

OFFICE: Enter OVERRIDE to submit without payment

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

🛑 Important: Please double-check your billing address. Many transactions are declined due to a mismatch between the address or ZIP code entered and what your credit card company has on file.

Billing Address(Required)

Same as above

Purim Unhinged!

Registration From below flyer

Register today!

Cover: $18 couple, $9 single.All proceeds to Masbia Queens Soup Kitchen & Food Pantry

Cover: $18 couple, $9 single.
All proceeds to Masbia Queens Soup Kitchen & Food Pantry