113th Annual Dinner

It will be my pleasure to participate in the Dinner
Participation*

ReservationsOther
Name*

FirstLast
Address

Street Address

Street Address Line 2

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Zip CodeCountry
Phone*

Area CodePhone Number
Phone Type*
Email*
PLEASE INDICATE NUMBER AND TYPE OF YOUR RESERVATIONS!
Complimentary Reservations for Men
Complimentary Reservations for Ladies
Reservations for Men
Reservations for Ladies
Journal Ad

Master Builder - $250,000Platinum Page - $180,000Centurion Page - $100,000Guardian Page - $75,000Founder Page - $50,000Benefactor Page - $36,000Royal Page - $25,000Chai Patron - $18,000Imperial Page - $10,000Parchment Page - $5,000Regal Page - $3,600Diamond Page - $1,800Gold Page - $1,000Silver Page - $750Bronze Page - $500Full Page - $360Half Page - $250Quarter Page - $180Listed Greeting (no ad) - $100
Ad Text
Please remember to sign your name(s) at the bottom of the ad!
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Names for listed greeting
e.g. Rabbi & Mrs. Avrohom Schwartz (English only please)
Payment Options*

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Calculation

Reservation

Couple - $0Second Couple - $500Additional 1 Male - $250Additional 1 Female - $250
Reservations

Couple - $5002 Couples - $10001 Male - $2501 Female - $250
Journal Ad 1

Master Builder - $250,000Platinum Page - $180,000Centurion Page - $100,000Guardian Page - $75,000Founder Page - $50,000Benefactor Page - $36,000Royal Page - $25,000Chai Patron - $18,000Imperial Page - $10,000Parchment Page - $5,000Regal Page - $3,600Diamond Page - $1,800Gold Page - $1,000Silver Page - $750
Journal Ad 2

Bronze Page - $500Full Page - $360Half Page - $250Quarter Page - $180Listed Greeting (no ad) - $100
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