We will not be accepting new orders

  Community Purim Project Order Form

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First Name*
Last Name*
Address*
City*
State*
Zip Code*
Phone Number *
Email Address*
Card Type*
Card Number*
Expiration Date*

 

  •  $9 - Per Purim Basket on the TOBC list within 5 mile radius (names must be entered manually in to the text fields below)
     
  •  $12 - Per Purim Basket to be picked up, not on the list (Pick up date to be announced.)
     
  •  $9 per name - to automatically reciprocate to all those who send you a plate, without any inconvenience to you.
     

I would like to make a Purim Holiday Donation for the Amount of  

 I can volunteer to deliver Mishloach Manot on Purim, or to help pack, please contact me

First  Name Last  Name  
 
 
 
 
 

For additional names please use the "Comments Box"  
 

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