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Purim at the circus 2015

Purim at the circus 2015

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Purim at the Circus 5775.jpg

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Contact Information

Child(ren)s Full Name*   Child(ren)s Age*

Parent First Name*

  State*

Parent
Last Name*

  Zip*
Address*   Phone
City*   Email*
 

Suggested Donation:
$10 per child

Event Sponsor $54

Chabad of North Brooklyn's programs are funded thanks to our generous sponsors!

$ (address above should match card billing address)
Card Type   Exp. Date
Card Number   CVV Code
You may send checks to Chabad of North Brooklyn
132 North 5th St #2c, | Brooklyn, NY 11249  or bring cash or check to the party
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CLICK HERE FOR INFO ON CHABAD'S  
 WEDNESDAY NIGHT PURIM PARTY FOR ADULTS

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