Gala 10 yrs banner.jpg
 
  Reservation
  First Name:   Last Name:
  Address:   City, State, Zip
  Phone:   Email Address:
 
  Attending

Yes, I/we plan to attend the 10th Anniversary Gala Dinner 
           Number of Attendees: 

Unfortunately, I will not be able to attend

Table Sponsor - I would like to be a Table Sponsor at $1,250
     Guests Names:
      


  Sponsorship Levels

  With your generous assistance, Chabad has been able to establish an extraordinary center
  to inspire the Jewish life and learning that hundreds of people call home today.  

  Chabad is solely funded by you - the community.  Your participation and
  contributions will enable Chabad to expand its outreach and ensure our programs'
  continued success.

  Contributions are Tax-Deductible.  Thank you in advance for your generosity!
Benefactor  $10,000  
Visionary  $  5,000  
Double Chai  $  3,600  
Pillar  $  2,500  
Chai  $  1,800  
Advocate  $  1,000  
Patron  $    500  
 Other Amount  $     
 
  My gift is in honor of:   
 

Payment Information
  Please charge my:

 
  Card Number:  
  Exp. Date      CVV Code:
  Payment Plan:

 I wish to pay the amount in full
 I wish to make monthly installments (Note monthly amount below)
   

Charge Credit Card Amount:

Comments/Requests: