Purim in Palooza Reservation by Check

* First Name

* Last Name

* Home Address

* City

* State

* Zip

* Phone Number

* Email

Adults

Child (Ages 3-12)

Student

Please make checks payable to:

Congregation Chofetz Chayim
5150 E. Fifth Street
Tucson, AZ 85711

Total Amount Due

Tue, April 23 2024
15 Nisan 5784

Tue, April 23 2024 15 Nisan 5784