Purim in the Shtetl | www.jewishloudoun.com

Your Registration Info

First Name *

Last Name *

Email Address *

Phone *

Event Fee(s)

Number of Individual(s) ($18)

$18.00

Number of JUDA Families ($45)

$45.00

Number of Families ($54/Family)

Sponsorship Options

Hamentash Hero ($180)

Megillah Maven ($360)

Mishloach Manot Patron ($500)

Seudas Purim Sponsor ($1,000)

Chai L'Dor Vador Sponsor ($1,800)

Modern Miracle Full Event Sponsor ($5,000)

- none -

Total

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province

Postal Code

Chabad of Loudoun County

info@jewishloudoun.com | 571-310-3131

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