Tribute & Dinner 2017 




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Dinner Sponsorship Details
Please check one of the following:

      Tribute back cover, Premium seating for Ten

      Tribute inside cover, Premium seating for Ten

      Partner advertisement, Preferred seating for Ten

      Benefactor advertisement, Preferred seating for Ten

      Sponsor advertisement, Select seating for Six

      Preferred seating for Four

      Seating for Four

      Full page advertisement, Seating for Two

      Half page advertisement, Seating for Two

      Half page advertisement

      Quarter page Ad

      1/8 page Ad
 

* bogrim discount available
Please type or print your copy (including all names exactly as you wish them to appear) in the space below, or send camera ready artwork. Logos will be accepted if they are reproduction quality. Deadline for receipt of your ad is May 18th 2017
Seats
Please reserve the following number of seats:  
Seats are $250 per person, $450 per couple
Additional Donation: $
Seating request
  Your total is:   $0.00
     
Personal Details
First Name * Last Name *
Address * City *
State * ZIP *
Country *    
Please make sure to fill out at least one phone number where you can be reached during the day.
Home Phone * Work Phone
Cell Email *
       
Payment Details
Payment Method *

Checks can be made payable to:
Bnei Akiva
520 Eighth Ave,
15th floor,
New York,
NY 10018
Card Type * Card Number *
Exp. Date * / Card Holder *
CVV number  *    
 
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