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 Option A or B* OPTION A: I would like to be listed on the entire Chabad of PW Community for $180.00OPTION B: I will select the individual families below Option B* $75.00 for 18 families$5.00 per family Number of families to be selected below:* IDF Package I would like to send a Mischloach Manot package to an IDF Soldier for $18I would like to bring a Purim Party to an IDF Platoon of soldiers for $180 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 AginCarol Arnold & Bill OstrowerJenny & Neil BaimJamie & Jonathan BanksVanessa & Jason BarrettAnita BaskinEllie & David BeatusLea BeatusSarah & Robert BergFelice & Mark BergerCheryl & Mark BergerPaula & Jordan BergsteinSarah & Yigal BerkowitzMr. Brad BernsteinBernadette & Allan BeydaJessica & David BeydaVicki & Bob BialerTracey & David BiancoRon BieberAlfred Black TieMark BorellElena & Roman BoverCarol BrennerElyse BrennerLewis BroadDrs. Martin & Shirley BrownsteinAudrey & Russ BurmanLena & Lenny BushkanetsMichelle & Michael ButlerRobert CatellBari & Ralph CennameDavid Cherkas & Clea Caiati-CherkasFern & Hersh CohenAliza & Yossie CohenShirley & Milton CooperVicki & Todd CooperKaren & Richard DanknerLisa & Ben DardashtianBarbara & David DashSimeon & Frieda DayMasha & Motty DonatHeather & Daniel DruckerSandra & Edwin EffuneEdna & Bruce EiberShari & David EidlitzJaclyn & Errol EisnerAimee & Sean ElanAshley & Lee EliyahuYaakov & Orly ElkonJoAnn & Mark EngelIlana & Matt EngelElaine & Al EskanazyLida & Joseph EsrailSharyn & Burt FalkensteinKeivan FarhadianNicole & Michael FeinMr. Bruce FensterMr. Howard Fensterman, Esq.Lori & Howard FenstermanNeil Fernandez & Rivkah UrbanoAlicia & Chris FerraroAmy & Adam FlisserJillian & Jordan FogelDorette & Peter FormanMs. Barbara-Ann FoxPearl & Nat FreedmanRandi & Richard FreemanLisa & Evan FreifeldDorie & Mark FridmanLiz & Joseph GentryDaniel GersonSamantha GersonMarilyn & Alan GilbertTina & Samuel GlassbergSally & Sam GlasserLyssa & Dan GoldbergSara & Scott GoldbergJeremy & Rebecca GoldsteinFelicia & Mark GoodsteinMichelle Gordon-SprinzIrina & Ed GottesmanStephen GottliebHelaine & Fred GouldAdele & Michael GreifJessica & Jonathan HarooniStephen HazelkornDavid HeidenSuzanne & Arnie HerzMyra & Stuart HerzMichelle & Joshua HollanderPhyllis & Larry HollanderMatthew Hornstein & ElizabethSchaja-HornsteinTerri & Victor HovanecMeir Hurwitz & Nika HakakianSusann & 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 KaufmanAlan KlatChesky & Bracha KleinJill & Blaine KluskyTammy & Jason KobinSharon & Jeff KobrinskySteven KoppellMelissa & Adam KornhaberSarah & Mitch KornhaberDiane & Steve KornhaberJolie & Lucas KowalLaurie & Jerome KrantzRenee & Ian KrochekBen LandaArin Lanis & Nancy Federman - LanisMark Lazarovic & Rosalie SilverGina & Joel LazarusSandi Lefkowitz Levine & LesterLevineAlana & Ronald LemkinBenjamin & Paulina LernerKimberly & Joshua LevinKeli & David LevineDana & Jason LevineDr. Jesse Levine & Dr. LynnSilverstein-LevineKaren & Joseph LevineSusie & Jay LevyJanice & Sanford LewisRose LiebowitzIrit & Simon LipetzRita & 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 & ReneeLekachLynn & Lee NajmanBen NehmadiRoya & Abraham NeissaniTerri & David NemschoffSandra & James NeuwirthBarbara NewmanKaren NewtonIsaac NeysaniSammantha & Joshua NiamehrRochelle & Abba PaltielEsti & Berel PaltielSara’le & Mendel PaltielSara & Shalom PaltielMarla & 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 SandmanJudith & Gideon SarrafJonathan SatovskyMrs. Ellen Savran-Coran & Paul CoranGila & Keith SaxeEllen & Lenny SchaierDanielle & Jonathan ScheinbergDebbie & Howard SchiffJonathan & Lauren SchiffAmy & Richard SchiffMylissa & Samuel SchiffMoriah & Yudi SchmuklerRaizy & Zalman SchmuklerIlena & Matthew SchreiberMs. April SchweberJoshua SettonMarina & Harold ShapiroOrly & Bryan ShermanMarcy & Manny ShurkaJoubin Simoni & Mojdeh MalekanSimoniKay & Lawrence SmithBilha & Robert SpatzShelly & Brian SteinwurtzelKeith Strassberg & Nancy LefkowitzBrooke & Sasha SzaboMeredith & David TannenbaumRachel & Zusha TenenbaumDawn & Rob TennenbaumMario Truglio & Danna Gruber-TruglioMiranda & Avram TurkelMichael WachAnna & Yuri WassermanDorothy WaxmanAlexandra & Jason WeaderhornEmily & Matthew WeinrebGreg & Holly WeinsteinMs. Sarah WeissBernice & Edward WengerTracy & Michael WintersStephanie & Yigal YedidsionZiba & Moshe YoudimVardit & Isaac YoussefiaLinda & Larry YudessBonnie & Danny Zarabi FLORENCE BROWNSTEIN PRESCHOOL FAMILIES Vanessa & Jason BarrettJessica & David BeydaZoe Weissman & Bryan BittonShirley & Ariel BornsteinMichelle & Michael ButlerAmy & Brett ChalmersSamantha Berlin & Bryan CimalaJessica & Joshua CostnerSharon & Dan DarouvarFrieda & Simeon DayRaquel Vasinkevich & David DinkinJaclyn & Errol EisnerAimee & Sean ElanChristina & Timothy ForsbergLyndsey & Shlomo GarbiMiriam & Bryan GeffenJulie & Justin GordonHeather & Michael GorinZoya Popivker & Michael GoyfmanSarah & David GreeneDanielle & David GromanMelissa MandelbaumTara & Christopher HichbornMichelle & Joshua HollanderElizabeth Schaja & Matthew HornsteinKari & Brian HorowitzNika Hakakian & Meir HurwitzDanielle & Patrick KilcullenAmanda & Adam KittaiSteven KoppellDana & Michael KraslowHillary & Ian KusinitzDana & Jason LevineShira & Brian LiebmanSpenser & Joseph LiptonJulie & Ira MakowskiSarah & Andrew MarcusPamela & Joshua OrchantEsti & Berel PaltielCara & Craig PartovichTamara & Dror PolegAshley-Lynn & Scott RolnikKate & Cliff SabbagJudith & Gideon SarrafCourtney & Eric SchubLauren & Maxwell SeibaldMojdeh & Joubin SimoniDanielle & Matthew TeagueDeborah & Daniel TrinidadMiranda & Avram TurkelDana & Benjamin WallackEmily & Matthew WeinrebVanessa & Jason WeisslerStefanie & Yigal Yedidsion HEBREW SCHOOL FAMILIES Robert AaronsonJennifer & John AbrahmovNaz & Sean AdlerRobert Aranbaev & Luba BorukhovaJamie & Jonathan BanksEllie & David BeatusSarah & Robert BergCheryl & Mark BergerEdward Berman & Diana ShapiroJessica & David BeydaJeremy Beyda & Alana ZinnIlyse & Brian BianchiShirley & Ariel BornsteinElyse BrennerCorey Brick & Shirin PeykarVictoria & Evan BrowneMichelle & Michael ButlerRebecca & Adam CastleBrett & Amy ChalmersDavid Cherkas & Clea Caiati-CherkasRonit & Shlomi DanielBabak Davoudian & Dr. Jessica BarzidehLina & Boris DobronevskyJaclyn & Errol EisnerAimee & Sean ElanNicole & Michael FeinJillian & Jordan FogelEsther & Ross FoxRachel & David FriedmannLyndsey & Shlomo GarbiMiriam & Bryan GeffenJessica & Joshua GoldmanMichelle Gordon-SprinzMichael & Heather GorinIrina & Ed GottesmanDiana & Edward GozikerDanielle & David GromanAmanda & Steven KannerYana & Alex KhaykinAmanda & Adam KittaiSarah & Mitch KornhaberDana & Michael KraslowHillary & Ian KusinitzJennifer & Evan LazarStephanie & Michael LopezJill & Jacob ManczykJasmine & Adam MehesJanet & Daniel MermelLauren & Jason MillerLiana & Andre MonteiroRachel & Jonathan NoverShirin & Richard OrdowerCara & Craig PartovichHolly & Ilya PesahovskyElizabeth & Colin ReedCara & AJ ReismanJudith & Gideon SarrafIlena & Matthew SchreiberLori & Jeffrey SmithMeredith & David TannenbaumDebbie & Robert TaperellDanielle & Matthew TeagueDeborah & Daniel TrinidadChris Villano & Farrah WeinsteinAlexandra & Jason WeaderhornEmily & Matthew WeinrebVanessa & Jason WeisslerDaniel Yousefzadeh & Avideh Yesharim PRESCHOOL STAFF Mindy Bekritsky (Toddler)Barbara Salerno (Toddler)Jenna Staufenberg (Toddler-Aftercare)Meaghan Trapp (Toddler-Aftercare)Danielle Massari (Toddler)Rebecca Brandman (Toddler)Meredith Tannenbaum (Toddler)Eileen Ginsberg (Nursery)Lisa Sandor (Nursery)Chaya Kaplowitz (Nursery)Kiriaki Daitsis (Nursery)Mimi Nissim (PreK)Niloofar Pourtavoosi (PreK)Carrie Steir (PreK)Jessica Zohar (PreK)Rabbi Shalom & Sara PaltielFelice Berger (Office) HEBREW SCHOOL STAFF Chana Leeba Lavrinoff, KJessie Strassberg, K AssistantMussy Nemanov, 1Elle Tannebaum, 1 AssistantSofia Kowal, 1 AssistantChana’le Yerushalmi, 2Aria Gottesman, 2 AssistantSara’le Finkelman, 3Chloe Borell, 3 AssistantShaina Sorkin, 4 & 5Menucha Minkowitz, Bat Mitzvah (6 & 7 girls)Mordechai Rosenswieg, Bar Mitzvah (6 & 7 boys)Dylan Borell, StaffZephi Aaronson, StaffRochele Cheruty, Aleph ChampChaya Sara Marasow, Aleph ChampChana Rivkin, Aleph ChampChaya’le Sorkin, Aleph ChampShaina Sorkin, Aleph ChampMushka Webb, Aleph ChampIlena Schreiber, Administrative AssistantCantor Alan Salzbank, Bar Mitzvah TutorVardit Youssefia, Bat Mitzvah TutorRabbi Berel & Esti Paltiel, Directors CHABAD OF PORT WASHINGTON STAFF Rabbi Shalom & Sara PaltielRabbi Berel & Esti PaltielFelice Berger, Office 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 Month2025202620272028202920302031203220332034 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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