Event Sponsorship Opportunities

Name*
First Name Last Name
Email*
Student's Name*
First Last
Grade*
Rebbi's Name
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Number of People Attending
Please choose one option:*
- Platinum sponsor - $540
- Diamond sponsor - $360
- Gold sponsor - $180
- Listing - $136
- I can’t be a sponsor, but I would like to contribute
Amount:*
Silver Sponsors will be listed as:
Dedicated by...
Mazel tov to our son/grandson…
Dedication Text*
Total
$0.00
Payment Method*
- Check
- Credit Card
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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