Purim Dinner is sponsored in part by the Pinhas Family in honor of the Upshernish of their son Adiv Full Name* First Name Last Name Zip Code* E-mail* Phone Number* Area Code Phone Number Number of Adults* Earlybird $25/Adult Number of Children 2-12 Earlybird $15/child Number of Children 0-2 Children Under 2 Are FREE I would like to be a: Event Sponsor $1,000Co-Sponsor $540L'Chaim Sponsor $360Magic Sponsor $180Hamentash Sponsor $54 Total $0.00 Payment Credit Card Paypal Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration YearPaypal has been selected. Payment will take place on the next page.Please send your check to:Chabad of Pinellas County3696 Fisher Rd. Palm Harbor, FL 34683 Comments Submit Should be Empty: This page uses TLS encryption to keep your data secure.