Your Info
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Name, First and Last
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Email Address
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Phone
Dinner Reservations
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Dinner Attendance
Will be attending on February 26th (Couvert $125 per person)
Will regretfully not attend, but will place an ad in the journal
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Total Number of Attendees
I would like to be seated with (not guranteed)
Please specify a meat or fish dinner
Journal
I would like to place an ad in the Dinner journal
Platinum Founders Page.......$50,000
Gold Founders Page.............$25,000
Founders Page: ..................$18,000
Diamond Page: ................. $10,000**
Platinum Page: ................. $5,000**
Gold Page: ...................... $3,600**
Silver Page: .....................$2,500**
Chai Page: .......................$1,800**
Bronze Page: ....................$1,500**
Full Page: ....................... $1,000**
Half Page: ...................... $500**
Quarter Page: ................. $360*
Business Card: ................... $200
Ad Text - Please type your text or upload file
Ad text
Payment
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Grand Total
Name on Card
Credit Card Type
Visa
MasterCard
American Express
Discover
Credit Card Number
Expiration Date (mm/yy)
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Community Kollel of Greater Las Vegas
www.lasvegaskollel.org
702.487.3133
1774 Quiver Point, Henderson, NV 89012