DEDICATION OPPORTUNITIES

Other
*Dedications of $500 or more include 2 reservations for the dinner.

AD & RESERVATIONS

My Donation is in Honor of
Scholarship Fund
Kesser Shem Tov Award
Parents of the Year
Mesorah Talmid Award
Community Leadership Award

Rosh Hayeshiva
Menahel
Executive Director
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RESERVATIONS

Please enter all your guests names:*

DONOR INFORMATION

First Name*
Last Name*
Address*
Zip*
City
State
Phone Number*
Email Address*

CREDIT CARD INFORMATION

Total:
Name on Card*
Card Number*
Card Expiration (MMYY)*
Billing Zip Code*
Card ID (CVV/CID)

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