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You must have javascript enabled to use this order form.
Your name
Your email
Step 1: Event Tickets
Number of guests for cocktails @$55/person
$
Number of guests for cocktails and dinner @$125/person
$
Twenty Somethings
Number of guests for cocktails @$30/person
$
Number of guests for cocktails and dinner @$80/person
$
I would like to underwrite some of the costs
(enter amount at right)
$
Step 2: Raffle Tickets
LIMITED RAFFLE: Only 100 Tickets will be sold
(Drawing is based on a minimum of 50 tickets purchased)
2 Round Trip Tickets to Israel (Valued at $3,600)
If you did not receive raffle tickets via mail prior to purchasing, your purchased ticket(s) will be reserved for pick-up at the Gala event.
I would like to buy raffles for $100 each
$
Step 3: Gala Journal Tribute
I/we would like to honor Matthew Biben, Jackie Berkowitz and/or Carol Green with an ad in the Gala Journal. I/we will gladly become:
(please select your journal tribute amount). Full amount is a charitable contribution.
Guardian (Gold Page) @$10,000
$
Benefactor (Silver Page) @$5000
$
Sustaining Benefactor (Bronze Page) @$2,500
$
Patron Gadol (Gold Trim) @ $1,800
$
Patron (Silver Trim) @ $1,200
$
Supporter (Bronze Trim) @ $720
$
Friend (1/2 Page) @ $360
$
Doner (1/4 Page) @ $250
$
Chaver (1/8 Page) @ $120
$
Listing (Your Name) @ $75
$
Enter your message for the journal ad in the box below or by May 18, 2008 to Sarah Gurwitz:
sgurwitz@optonline.net
. Please contact Sarah if you wish to submit art work, photo etc.
Step 4: Payment
Below is your total. Please click the button to purchase via PayPal.
Total
$