Purim Seudah Signup

Please let us know if you're coming to Segulah's Purim Seudah on March 1 so we can get enough food!
* Required
    This is a required question
    This is a required question
    This is a required question
    Never submit passwords through Google Forms.
Request edit access

If you are experiencing issues with using the form, first click here to “pop out” the form from our website.  If you continue to experience issues, please e-mail our website team for further assistance.  If you have a general question about Segulah Purim 5778, you can click here to contact our organizing team.