Shalach Manot Order Form

Full Name of Person Ordering
Name as you would like it to appear
Email Address

 I/We would like to sponsor Purim Gift Bags for the entire
congregation. Please list my/our name at the following level:
Choose a Sponsorship Level
 $500 The Whole Megillah
 $360 Shining Shushan Stars
 $180 Golden Grogger
 $72 Magnificent Mordechai/Enchanting Esther
 $36 Mighty Mitzvot
 $18 Heimeshe Hamentashen
 Even though I am donating at the level selected above, please list me in the Purim Patrons category (not associated with any level of sponsorship.)
 Please do not prepare a Purim Bag for me.

 I/We would like to purchase gift bags at $14, for family and friends who are not GHCers - to be picked at GHC on March 8 or 9
Number of Gift Bags at $14

  I understand that my order is not fully placed until I submit payment.

Please send orders and checks payable to Sisterhood GHC to: Sisterhood GHC,
515 Broadway, Dobbs Ferry, NY 10522 or pay online at

Orders must be received by February 24th

Questions or Comments?