Shalach Manos for Students

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Shalach Manos for Students
Missing your child this Purim? Want them to know you're thinking of them? Chabad Kingston is here for you!
Parent Information
Your Full Name*
First Name Last Name
E-mail*
Phone Number*
Child Information
Student's Name*
First Name Last Name
Student's Phone Number*
Student's E-mail*

Student's Address in Kingston*

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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Parent Information