Chabad of the Conejo
Patron's Gala Banquet
Monday, June 11, 2012
 
  Tribute Ad Journal Form
I would like to place a greeting in the Tribute Ad Journal:
(please select your level of support)

Life Partner $100,000
(includes a minimum of 2 tickets for the Gala Banquet and appropriate placing in the Tribute Ad Journal)

Platinum Pillar $72,000
(includes a minimum of 2 tickets for the Gala Banquet and appropriate placing in the Tribute Ad Journal)

Chabad Fellowship $50,000
(includes a minimum of 2 tickets for the Gala Banquet and appropriate placing in the Tribute Ad Journal)

Emerald Sponsor $36,000
(includes a minimum of 2 tickets for the Gala Banquet and appropriate placing in the Tribute Ad Journal)

Trustee Circle $25,000
(includes a minimum of 2 tickets for the Gala Banquet and appropriate placing in the Tribute Ad Journal)

Founders Guild $18,000
(includes a minimum of 2 tickets for the Gala Banquet and appropriate placing in the Tribute Ad Journal)

Diamond Club Table $10,000
(includes a minimum of 2 tickets for the Gala Banquet and appropriate placing in the Tribute Ad Journal)

Governors Table $5,000
(includes a minimum of 2 tickets for the Gala Banquet and appropriate placing in the Tribute Ad Journal)

Crown Contributor $3,600
(includes a minimum of 2 tickets for the Gala Banquet and appropriate placing in the Tribute Ad Journal)

Jewel Society $2,600
(includes a minimum of 2 tickets for the Gala Banquet and appropriate placing in the Tribute Ad Journal)

Chai Founder $1,800
(includes a minimum of 2 tickets for the Gala Banquet and appropriate placing in the Tribute Ad Journal)

Golden Benefactor $1,000
(includes a minimum of 2 tickets for the Gala Banquet and appropriate placing in the Tribute Ad Journal)

Silver Patron $613
(includes a minimum of 2 tickets for the Gala Banquet and appropriate placing in the Tribute Ad Journal)

Full Page $400

Half Page $250

Quarter Page $125

In an effort to protect our natural resources, this year's journal will be published digitally. Additionally, greetings and ads will be displayed at the banquet on large screens.


Please accept our contribution toward your vital work:
      $
 
  Dinner Reservations
  Option 1
Dinner Reservations included with
Tribute Journal Ad (selected on left side of this form.)
We will be bringing a total of guests for the
Gala Banquet.
 
Option 2
Dinner Reservation Only (No Commemorative Journal Ad)
Reservations: ($500 per person, list below)

 
  Option 3
We are unable to attend the Dinner
but we are placing a greeting in the
Tribute Journal Ad (selected on left side of this form)
 
  Guest Name(s): (please list all your guest's names here)
  Personal Information
  Checks made payable to Chabad of the Conejo Inc. are tax deductible to the extent permitted by law. The fair market value of dinner is $120.

First Name:
 Last Name:
Company:
Address:
City:
 State:
 Zip:
Phone:
Eve Phone:
Email:
 Confirm Email:
  Payment Information
  Please send statement
  Check sent, payable to: Chabad of the Conejo Inc.
  Credit Card:
Visa Mastercard American Express
  Please bill my credit card:
Monthly Quarterly Full Payment
 
Account Number:
 CVV:
 Expires:
Name (as it appears on the card):
Address:
City:
 State:
 Zip:
 
  Commemorative Journal Ad Information
  Enter your greeting below:

Please mail camera ready ads to Gala Banquet, 30345 Canwood Street, Agoura Hills CA. 91301 - In the box above please indicate that camera ready material has been mailed.
If you would like to e-mail a camera ready greeting or advertisement, please send to chabadbanquet@gmail.com.

Upload your ad file here:

High Res PDF • No Bleeds • Black & White

 
Deadline for Submitting Ads - June 5, 2012 • For more information, please call 818-991-0991
 
 
30345 Canwood St. . Agoura Hills, CA 91301
Tel: 818-991-0991 Fax: 818-707-1190 Web: www.JewishAcademy.com E-Mail: info@JewishAcademy.com
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