1. Your Infomation Full Name* First Name Last Name Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Phone Number* Area Code Phone Number E-mail* 2. Participation Options I would like to sponsor packages for the following families: $5.00 entitles you to list your name on one mishloach manot package.$50.00 entitles you to list your name on the mishloach manot of your Pre-School child’s grade, and Morahs.$75.00 entitles you to list your name on the mishloach manot of all the Pre-School families, and staff.$75.00 entitles you to list your name on the mishloach manot of all the Hebrew School families, and staff.$180.00 - I would like to be listed on the entire Chabad of PW Community. Number of families to be selected below:* Please choose the grade: ToddlerNurseryPre-K IDF Package I would like to send a Mishloach Manot package to an IDF Soldier.I would like to bring a Purim Party to an IDF Platoon of soldiers. Volunteer Help assemble & deliver our community Purim Packages (shalach manot). Comments / Notes 3. Family Selections CHABAD MEMBERS Robert AaronsonJane & Howard AbrahamsSamantha & Richard AcocaCary Adickman & Sarah FarhadianNaz & Sean AdlerMichelle & Larry AginStephanie & Isaac AntebyCarol Arnold & Bill OstrowerJenny & Neil BaimJamie & Jonathan BanksAnita BaskinEllie & David BeatusLea BeatusSarah & Robert BergFelice & Mark BergerCheryl & Mark BergerPaula & Jordan BergsteinSarah & Yigal BerkowitzEdward Berman & Diana ShapiroBrad BernsteinBernadette & Allan BeydaJessica & David BeydaVicki & Bob BialerTracey & David BiancoRon BieberAlfred Black TieMark BorellElena & Roman BoverMrs. Carol BrennerMrs. Elyse BrennerLewis BroadDrs. Martin & Shirley BrownsteinAudrey & Russ BurmanLena & Lenny BushkanetsMichelle & Michael ButlerRobert CatellBari & Ralph CennameDavid Cherkas & Clea Caiati-CherkasFern & Hersh CohenYossie CohenShirley & Milton CooperVicki & Todd CooperMichael Dan & Marisa KaufmanKaren & Richard DanknerLisa & Ben DardashtianBarbara & David DashFrieda & Simeon DayMasha & Motty DonatDaniel DruckerHeather DruckerSandra & Edwin EffuneEdna & Bruce EiberShari & David EidlitzMacha & Harry EinbenderJaclyn & Errol EisnerAimee & Sean ElanDaniela & Ryan ElazariAshley & Lee EliyahuYaakov Elkon & Ms. Orli Elkon ElkonJoAnn & Mark EngelIlana & Matt EngelElaine & Al EskanazySharyn & Burt FalkensteinKeivan FarhadianNicole & Michael FeinMr. Bruce FensterLori & Howard FenstermanNeil Fernandez & Rivkah UrbanoAlicia & Chris FerraroAmy & Adam FlisserDorette & Peter FormanMs. Barbara-Ann FoxPearl & Nat FreedmanRandi & Richard FreemanLisa & Evan FreifeldDorie & Mark FridmanElisa Frischling & Arnold HochstadtMr. & Mrs. Joseph GentryDaniel GersonLisa & Jake GersonSamantha GersonMarilyn & Alan GilbertTina & Samuel GlassbergSally & Sam GlasserLyssa & Dan GoldbergSara & Scott GoldbergRebecca & Jeremy GoldsteinMichelle Gordon-SprinzIrina & Ed GottesmanStephen GottliebHelaine & Fred GouldDiana & Edward GozikerAdele & Michael GreifJessica & Jonathan HarooniClaude Haussmann & Joann PerahiaStephen HazelkornDavid HeidenArmand Hershowitz & Ronnit SchwebelSuzanne & Arnie HerzMyra & Stuart HerzTara & Christopher HichbornMichelle & Joshua HollanderPhyllis & Larry HollanderMatthew Hornstein & Elizabeth Schaja-HornsteinTerri & Victor HovanecSusann & Allan HymanAlan Itchkow & Eleanor HumeMichael Itkin & Anna OrlovSusan & Abraham JaegerAlan JaffeDonna & Barry JasonDeborah & Spencer KaganArlene KalderonMichelle & Lee KalinskyFran & David KalishAmy & Dan KamenskyAmanda & Steven KannerAdam & Diane KatzBarbara Kaufman & Daniel HarriganChickie KaufmanLori & Howard KaufmanHadassah & Lipa KaufmanStacey KitayAlan KlatChesky & Bracha KleinJill & Blaine KluskyMichael Knetzger & Maya ZandsbergSabrina KoberTammy & Jason KobinSharon & Jeff KobrinskySteven KoppellMelissa & Adam KornhaberSarah & Mitch KornhaberDiane & Steve KornhaberBrittany & Justin KovarsyJolie & Lucas KowalLaurie & Jerome KrantzCasey & Michael KrantzRenee & Ian KrochekBen LandaMark Lazarovic & Rosalie SilverGina & Joel LazarusSandi Lefkowitz LevineAlana & Ronald LemkinPaulina & Benjamin LernerStephanie & David LevinKimberly & Joshua LevinKeli & David LevineDana & Jason LevineDr. Jesse Levine & Dr. Lynn Silverstein-LevineKaren & Joseph LevineSusie & Jay LevyJanice & Sanford LewisChelsea & Adam LiebRose LiebowitzIrit & Simon LipetzSpenser & Joseph LiptonRita & Gary LitvakAndrea MajerJulie & Ira MakowskiJill & Jacob ManczykDebra & Leon ManoffJamie & Ed MarkovichArlene & Donald MarkowitzHenze MarvinDiane & Scott MattyJasmine & Adam MehesJanet & Daniel MermelMrs. Sylvia Mermel & Dr. Paul WeissBrian MermelshteinDon Meyers & Dana MaimanStacy & Stewart MilesRaymond Mills & Rachel AndronIlisa & Guy MintzElaine & Peter MuffRoman Murashkovsky & Renee LekachLynn & Lee NajmanBen NehmadiRoya & Abraham NeissaniTerri & David NemschoffSandra & James NeuwirthKaren NewtonIsaac NeysaniRochelle & Abba PaltielEsti & Berel PaltielSarale & Mendel PaltielSara & Shalom PaltielMelissa & Lawrence PaulMarla & Ira PinkusMarcia & Jerry PinskyTamara & Dror PolegPamela & Michael PorgesHeidi & Louis RabmanLaurie RadlerDebbie & Michael ResnickRobert ResnickDr. Burton Rochelson & Robyn ArmonAshley & Scott RolnikBarbara & Alan RosenzweigRachel & Erik RossEdith & Alex RothschildTami & Glen RubenBruce RutkinLeslie & Brad SallKaren & Alan SalzbankStephanie & Robert SalzbankDeborah & Michael SamuelLinda SandmanJonathan SatovskyMrs. Ellen Savran-Coran & Paul CoranGila & Keith SaxeDanielle & Jonathan ScheinbergDebbie & Howard SchiffJonathan and Lauren SchiffAmy & Richard SchiffMylissa & Samuel SchiffMoriah & Yudi SchmuklerRaizy & Zalman SchmuklerAlan SchonfeldIlena & Matthew SchreiberApril SchweberJoshua SettonMarina & Harold ShapiroMr. & Mrs. Shain & Isabelle ShapiroOrly & Bryan ShermanMarcy ShurkaKay & Lawrence SmithJessica & Ian SobelBilha & Robert SpatzShelly & Brian SteinwurtzelKeith Strassberg & Nancy LefkowitzRonald StromfeldBrooke & Sasha SzaboMeredith & David TannenbaumRachel & Zusha TenenbaumDawn & Rob TennenbaumMario Truglio & Donna Gruber-TruglioMiranda & Avram TurkelMichael WachDorothy WaxmanAlexandra & Jason WeaderhornAimee & Bram WeberAdi & Dan WeberEmily & Matthew WeinrebIleen WeissMs. Sarah WeissBernice & Edward WengerBrittany & Aaron WinderbaumTracy & Michael WintersZiba & Moshe YoudimVardit & Isaac YoussefiaLinda & Larry YudessBonnie & Danny Zarabi FLORENCE BROWNSTEIN PRESCHOOL FAMILIES Stephanie & Isaac AntebyDanielle & Matthew BernsteinBryan Bitton & Zoe WeissmanShirley & Ariel BornsteinMichelle & Michael ButlerAmy & Brett ChalmersBryan Cimala & Samantha BerlinJessica & Adam CohenBrian Coltrinari & Pamela FisherJessica & Joshua CostnerMichael Dan & Marisa KaufmanBabak Davoudian & Dr. Jessica BarzidehFrieda & Simeon DayEmily & Edward DelmanAimee & Sean ElanDaniela & Ryan ElazariAshley & Lee EliyahuTimothy Forsberg & Christina KellerEsther & Ross FoxLyndsey & Shlomo GarbiMiriam & Bryan GeffenRebecca & Jeremy GoldsteinJulie & Justin GordonSarah & David GreeneJulie & Marc HavaDanielle & Matthew HellerArmand Hershowitz & Ronnit SchwebelTara & Christopher HichbornMichelle & Joshua HollanderMatthew Hornstein & Elizabeth Schaja-HornsteinKari & Brian HorowitzPatrick Kilcullen & Danielle GoldAmanda & Adam KittaiMichael Knetzger & Maya ZandsbergSteven KoppellMelissa & Adam KornhaberBrittany & Justin KovarsyDana & Michael KraslowHillary & Ian KusinitzErica & Zachary LangendorffPaulina & Benjamin LernerChelsea & Adam LiebSpenser & Joseph LiptonJulie & Ira MakowskiMelissa MandelbaumSarah & Andrew MarcusJenny & Casey MusikerCara & Craig PartovichMelissa & Lawrence PaulTamara & Dror PolegAmanda & Jesse ReichAshley & Scott RolnikReisa & Zachary RosengardJudith & Gideon SarrafGwendolyn & Michael SternDanielle & Matthew TeagueDeborah & Daniel TrinidadSara & Daniel ValsamopoulosJill & Alexander Van den BerghRyan Wall & Laura GottliebDana & Benjamin WallackSara & Maxwell WeinEmily & Matthew WeinrebStephanie & Yigal YedidsionAshley & Marc Yeshoua HEBREW SCHOOL FAMILIES Robert AaronsonNaz & Sean AdlerLuba Borukhova & Robert AranbaevJamie & Jonathan BanksEllie & David BeatusSarah & Robert BergCheryl & Mark BergerDiana Shapiro & Edward BermanJenny BernsteinJessica & David BeydaAlana Zinn & Jeremy BeydaIlyse & Brian BianchiShirley & Ariel BornsteinYasmin & Ben BrennerElyse BrennerShirin Peykar & Corey BrickVictoria & Evan BrowneMichelle & Michael ButlerRebecca & Adam CastleAmy & Brett ChalmersClea Caiati-Cherkas & David CherkasJessica Barzideh & Babak DavoudianEmily & Edward DelmanJaclyn & Errol EisnerAimee & Sean ElanLindsay & Joshua FarhadianNicole & Michael FeinJillian & Jordan FogelEsther & Ross FoxLyndsey & Shlomo GarbiMiriam & Bryan GeffenJessica & Josh GoldmanMichelle Gordon-SprinzHeather & Michael GorinZoya Popivker & Michael GoyfmanDiana & Edward GozikerDanielle & David GromanDanielle & Matthew HellerKari & Brian HorowitzAmanda & Steven KannerYana & Alex KhaykinAmanda & Adam KittaiSarah & Mitch KornhaberDana & Michael KraslowJennifer & Evan LazarDana & Jason LevineJesse & Jerome LomanStephanie & Michael LopezJill & Jacob ManczykJasmine & Adam MehesJanet & Daniel MermelIlyse & Steve MetzgerRachel & Jonathan NoverEsti & Berel PaltielCara & Craig PartovichHolly & Ilya PesahovskyJennifer & Michael PokrassaElizabeth & Colin ReedAshley & Scott RolnikKate & Clifton SabbagJudith & Gideon SarrafIlena & Matthew SchreiberJoubin Simoni & Mojdeh Malekan SimoniElaine & Jason SingerLarisa & Michael SpokoynyBrooke & Sasha SzaboMeredith & David TannenbaumDebbie & Robert TaperellDanielle & Matthew Teagueliana Thompson & Andre MonteiroDeborah & Daniel TrinidadMiranda & Avram TurkelLaura & Michael TuroffJill & Alexander Van den BerghFarrah Weinstein & Chris VillanoLauren Resnick & Jacques WadlerDana & Benjamin WallackAlexandra & Jason WeaderhornVanessa & Jason WeisslerAshleigh & Andrew WiktorStephanie & Yigal YedidsionAvideh Yesharim & Daniel Yousefzadeh PRESCHOOL STAFF Mindy Bekritsky (Toddler)Barbara Salerno (Toddler-Precare)Mia Rios(Toddler-Aftercare)Meaghan Trapp (Toddler-Aftercare)Danielle Massari (Toddler)Rebecca Brandman (Toddler-Precare)Meredith Tannenbaum (Toddler)Ilana Wallenstein (Toddler)Eileen Ginsberg (Nursery)Lisa Sandor (Nursery)Kiriaki Daitsis (Nursery)Jessica Mudd (Nursery-Aftercare)Mimi Nissim (PreK)Niloofar Pourtavoosi (PreK)Carrie Steir (PreK)Jessica Zohar (PreK)Jennifer Mrejen (Office)Rabbi Shalom & Sara Paltiel HEBREW SCHOOL STAFF Devorah Leah Mayzlesh (Kindergarten)Jenna Sobiecki (Kindergarten Assistant)Elle Tannenbaum (Kindergarten Assistant)Michelle Dobronevsky (Kindergarten Assistant)Laylie Fogel (Kindergarten Assistant)Menucha Liberow (1st Grade)Cyla Paltiel (1st Grade Assistant)Charlotte Adler (1st Grade Assistant)Chana'le Yerushalmi (2nd Grade)Sofia Kowal (2nd Grade Assistant)Shayla Ferraro (2nd Grade Assistant)Bracha Zelda Zellermaier (3rd Grade)Ciel Gottesman (3rd Grade Assistant)Rishi Weber (4th Grade)Chloe Borell (4th Grade Assistant)Devorah Barber (5th Grade)Naomi Goldberg (5th Grade Assistant)Chaya Matuf (Bat Mitzvah Club – 6th & 7th Grade Girls)Mordechai Rosenswieg (Bar Mitzvah Club – 6th & 7th Grade Boys)Simi Wolberg (Aleph Champ)Freida Schmukler (Aleph Champ)Mushka Webb (Aleph Champ)Chana Rivkin (Aleph Champ)Dylan Borell (Staff)Zephi Aaronson (Staff)Vardit Youssefia (Bat Mitzvah Tutor)Cantor Alan Salzbank (Bar Mitzvah Tutor)Ilena Schreiber (Administrative Assistant)Rabbi Berel & Esti Paltiel (Directors) CHABAD OF PORT WASHINGTON STAFF Rabbi Shalom & Sara PaltielRabbi & Berel & Esti PaltielFelice Berger, OfficeJennifer Mrejen, OfficeMerlin Sandoval-MaintenanceJenny Samaniego-Maintenance 4. Payment Total $0.00 Payment Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearBilling Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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