Purim Gifts Form

This is the Purim Gift Exchange form. If you would like to just make a donation for Matanot Laevyonim - Purim Gifts to the Poor - please CLICK HERE.
Full Name*
Title First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Purim Gifts - Sponsorships
Thank you for your generosity as a Purim Sponsor. All Sponsorship Packages include your name on the personalized list for all Purim Gifts sent to the entire community.*

Honor Roll - Co-sponsor The Shul Purim Party: $1000

Movers and Shakers - Create a Purim celebration in a senior home: $540

Gift Giver to the entire Purim Gift Exchange: $360

Greetings to The Shul Kiddush Club: $250

Salute The Shul Volunteers: $180

*Forms submitted after Thursday, March 6 may not be printed with your name
My Purim Gift Exchange Sponsorship Level (skip to next section if you only want Private Baskets)

$1000$540$360$250$180
Private Baskets
Delivered within our driving route: $100

Additional Domestic Shipping: $25

Additional International Shipping: $75

Please note:
If the Private Basket is being sent to someone The Shul is already giving to, then they will receive 1 gift with 2 letters - the Private Basket letter with your personalized greeting in addition to the regular letter from The Shul.
Number of Private Baskets
Private Basket 1 Amount

$100$125$175
Recipient 1 Name:
Recipient 1 Street Address:
Recipient 1 City:
Recipient 1 State:
Recipient 1 Zipcode:
Recipient 1 Personal Greeting for Private Gift:
Private Basket 2 Amount

$100$125$175
Recipient 2 Name:
Recipient 2 Street Address:
Recipient 2 City:
Recipient 2 State:
Recipient 2 Zipcode:
Recipient 2 Personal Greeting for Private Gift:
Private Basket 3 Amount

$100$125$175
Recipient 3 Name:
Recipient 3 Street Address:
Recipient 3 City:
Recipient 3 State:
Recipient 3 Zipcode:
Recipient 3 Personal Greeting for Private Gift:
Private Basket 4 Amount

$100$125$175
Recipient 4 Name:
Recipient 4 Street Address:
Recipient 4 City:
Recipient 4 State:
Recipient 4 Zipcode:
Recipient 4 Personal Greeting for Private Gift:
Private Basket 5 Amount

$100$125$175
Recipient 5 Name:
Recipient 5 Street Address:
Recipient 5 City:
Recipient 5 State:
Recipient 5 Zipcode:
Recipient 5 Personal Greeting for Private Gift:
Private Basket 6 Amount

$100$125$175
Recipient 6 Name:
Recipient 6 Street Address:
Recipient 6 City:
Recipient 6 State:
Recipient 6 Zipcode:
Recipient 6 Personal Greeting for Private Gift:
Private Basket 7 Amount

$100$125$175
Recipient 7 Name:
Recipient 7 Street Address:
Recipient 7 City:
Recipient 7 State:
Recipient 7 Zipcode:
Recipient 7 Personal Greeting for Private Gift:
Purim Gifts to the Poor
One of Purim’s primary themes is Jewish unity. Haman tried to kill us all, we were all in danger together, so we celebrate together too. Hence, on Purim day we place special emphasis on caring for the less fortunate.

Give money or food to at least two needy people during the daylight hours of Purim, Thursday, March 17, 2022. To make it easier for you to fulfill this Mitzvah, we are collecting money for this purpose.

Please note - the Purim Gifts to the Poor donation will be charged separately when the form is processed.
Gift to the Poor Donation

$18$36$72$100$180
We want to deliver you a Purim gift!*

I will be in town the week of Purim (March 1-2, 2026)I will be out of town the week of Purim (March 1-2, 2026)
Payment
Total Charge

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment Method

Credit Card Check/Zelle/Cash

If not using credit card, please specify method of payment

I will Zelle to [email protected]I will mail or bring in a check or cash
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Holiday Date

Purim Gifts - Sponsorships

Private Baskets

Purim Gifts to the Poor

Payment