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RSVP & AD FORM 2022

Full Name
First NameLast Name
E-mail
Amount to Attend$180 Per Person
Phone Number
Area CodePhone Number
Phone number provided is:
HomeCellOffice
Please note, if you are placing an ad in our journal (see below) that has complimentary seating please leave these numbers at "0" and indicate amount below.
Names of Attendees
I/we are unable to attend but wish to celebrate this milestone with a donation of
$
I/WE WISH TO HAVE MY ADVERTISEMENT OR MESSAGE APPEAR ON THE FOLLOWING TYPE OF PAGE:
Chai Page $18000*Founders $10,000**Platinum $5400**Diamond $3600***Sapphire $2540***Celebration $1800***Gold $1018***Full $613Half $360Quarter $236
*Includes dinner reservations for twenty
**Includes dinner reservations for ten
***Includes dinner reservations for two
I would like to reserve this amount of complimentary seats with my ad
Future Generation $18 a nameChoose Amount
Future Generation Names
My/Our ad is in honor of:
Alan and Randee MoldoffAndrew and Elyse MulbergYigal and Karen SinaiChabad in Cherry Hill
Or other text
I would like to send a pre-designed ad to [email protected]
Check off here
Total
$0.00

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