Purim Morocco - Copy.jpg

Purim in Morocco  Registration Form

First Name

 

E-Mail

Last Name

 

Phone

Number of Children   Number of Adults

 

       
Pricing

Early Bird Pricing for reservations
paid Before Feb 22

Adult $18 | Child (2-12) $9

After Feb 22

Adult $22 | Child (2-12) $12  

Co-Sponsor

$180 (includes family reservation)      
Gold Sponsor $360 (includes family reservation)      
   
Payment
CC Type   Card Number
Billing Address   City, State, Zip
Charge Amount   Exp Date
CVV

I will send a check (mail to 1 west 9th St. Frederick, MD 21701)