BIOZ Purim Seudah 2022

Maximum amount for the family is $60. Please note that all children under 3 are free. Please do fill out quantities for attending adults and children, so that appropriate food quantities can be prepared..

Please provide your name and address

Name*

First Last

Address

Street Address Address Line 2 City State ZIP Code

Email*

Phone

Sponsorship

Would you like to be a sponsor for $125?

Sponsorship will get you free admission for immediate family

Yes, I would like to sponsor the event

Sponsorship

Thank you for your sponsorship!

Price: $125.00

Please select your family options

Would you like to pay discounted price of $60 for the whole family?

Yes, I would like to pay family maximum of $60

Family Total

Price: $60.00

Number of adults and children over 12

Price: $20.00 Quantity:

Number of children ages 3-12

Price: $10.00 Quantity:

Number of children age 3 and under (free)*

If there are no children under 3 enter 0 here

Total number of guests*

Please indicate how many guests you are reserving for

Payment Information

Would you like to cover the service fee so that 100% of my donation will benefit B'nai Israel Ohev Zedek

Yes, I would like to cover the merchant service fee

Merchant Service Fee

Price: $0.00

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

CAPTCHA