Shalach Manot - Order Form

It is a custom to send sweet treats and give tzedakah on Purim. You can order beautiful Shalach Manot containing hamantashen, other goodies, and a Purim Card. Each recipient receives one Purim Box and a card which includes the names of all those who contributed in their honor.

For legibility, please fill in the form on screen then print and mail it with your payment.

 
Recipient's Name (and address if sending out-of-town card)		 
Type		 
Member		 Phone number
(to notify recipient)

Golden Grogger Club
Place an order for $100.00 and your name is included on every adult gift sent to a synagogue member.

I wish to reciprocate.
Please automatically send a Purim Box to anyone who sends me one. Bill me later for the additional amount.

 Adult boxes @ $6.00 = 
 Child boxes @ $5.00 = 
 Cards only   @ $4.00 = 
Total = 
I'm available to volunteer.
Please let me know how I can help.

Name 
Address  
City/State/Zip            Phone 
E-mail 

Mail this form with check for  payable to:
Sisterhood Congregation B'nai Tikvah, 1001 Finnegans Lane, North Brunswick, NJ 08902

  Please mark your envelope: Purim Box