Full Name* First Name Last Name Company Name (if you would like to include on card): By participating in this project, you will receive a Mishloach Manot. Please include your Home Address (not mailing) for delivery purposes: Comments: We respect your privacy and therefore will not distribute your personal information to the general public. Phone Number -Area Code Phone Number E-mail Sponsorship Level Family Participation $150 Single Participation $75 Purchase a basket for a Friend $40 Co-Sponsor $500 Matanot L'Evyonim - Gifts to the Poor On Purim day we place special emphasis on caring for the less fortunate by giving money or food, "matanot la'evyonim," to two needy people on Purim. Join us in showing Jewish Unity and caring for others! Donation to Poor: $18 $36 $54 Payment: Purim Gift Total: Card Type: -Select- Master Card Visa American Express Card Number: Exp Date: 1 2 3 4 5 6 7 8 9 10 11 12 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 Card Verification Number: Add to mailing list Checks can be sent to: THE PURIM UNITY PROJECT - Chabad Jewish Center of RSF P.O. BOX 8282, RSF, CA 92067 Questions or concerns? Click here. This page uses 128 bit SSL encryption to keep your data secure.