Purim Reservation Form 
Wednesday, Feb. 28th; 
I would like to make reservations for the Royal Purim Feast


Phone Number: 

Email Address:  
A dults   Children  


If you would like to make a donation: 


To pay by check, mail to Chabad of Homestead & Cutler Bay, 8460 SW 198th St., Cutler Bay, FL 33189

To pay by Credit Card:

Payment Information
  Please charge my:


  Card Number: Name on card 
  Exp. Date
CVC # 

Total Amount to be charged:

  Additional comments/information: