Purim Gifts Form

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 + $36

Movers and Shakers - Create a Purim celebration in a senior home: $540 + $36

Gift Giver to the entire Purim Gift Exchange: $360 + $36

Greetings to The Shul Kiddush Club: $180 + $36

Salute The Shul Volunteers: $100 + $36

Greetings from JEMS & Camp Gan Israel @ The Shul: $36 + $36

*Forms submitted after Sunday, March 17 may not be printed with your name
My Purim Gift Exchange Sponsorship Level

$1000$540$360$180$100$36
Additional $36 to support families of reservists in Cholon, Israel*

$36
Private Baskets
If the person you are requesting a private basket is already on the route to receive one from The Shul, they will an additional personal letter with your greeting in addition to the card from all the Purim Gift Exchange Members from The Shul.

Delivered within our driving route: $54 + $36

Additional Domestic Shipping: $15

Additional International Shipping: $50
Number of Private Baskets
Private Basket 1 Amount

$54$69$104
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

$54$69$104
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

$54$69$104
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

$54$69$104
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

$54$69$104
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

$54$69$104
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

$54$69$104
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.
Gift to the Poor Donation

$10$18$36$72$100$180
Payment
Total Charge

$36.00

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 use ZelleI will mail/bring in a checkI will bring in cash
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Holiday Date

Purim Gifts - Sponsorships

Private Baskets

Purim Gifts to the Poor

Payment