Gala Banquet ConcertGala Banquet Concert
Chabad of the Conejo
Gala Banquet Concert
Monday, June 13, 2011, 5:30pm
 
  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

Platinum Pillar $72,000

Chabad Fellowship $50,000

Emerald Sponsor $36,000

Trustee Circle $25,000

Founders Guild $18,000

Diamond Club Table $10,000

Governors Table $5,000
Contributions of $5,000 or more include respective journal
page plus option of table of up to 10 banquet reservations
Crown Contributor $3,600

Jewel Society $2,600

Chai Founder $1,800

Golden Benefactor $1,000

Silver Patron $613
Contributions of $613 or more include respective journal
page plus 2 banquet reservations
Patron - Full Page Ad $400
(No dinner Included)
Half Page Ad $250
(No dinner Included)
Quarter Page Ad $125
(No dinner Included)
Please accept our contribution toward your vital work:
      $
 
   
 
  Dinner & Theater Reservations
  Option 1
Gala Banquet Reservations included with
Tribute Journal Ad (selected on left side of this form.)
We will bringing a total of guests for the
Gala Banquet.
Option 2
Gala Banquet Reservation Only (No Tribute Journal Ad)
Amount of Reservations: ($270 per person)
  Option 3
We are unable to attend the Gala Banquet
but we are placing a greeting in the
Tribute Ad Souvenir Journal (selected on left side of this form)
  Personal Information
 
Name(s):
Address:
City:
State:
Zip:
Phone:
Ev. Phone:
Email:
Confirm Email:
  Payment Information
  Please send statement
  Check sent, payable to: Chabad of the Conejo
  Credit Card:
Visa Mastercard American Express
  Please bill my credit card:
Monthly Quarterly Full Payment
 
Account Number:
CVC:
Expires:
Name (as it appears on the card):
       
  Journal Ad Information
  Enter your greeting below:


Actual Journal Full Page Size 8 x 10
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.
       
Deadline for Submitting Ads - June 2, 2011 • For more information, please call 818-991-0991
For building dedication opportunities, please call Rabbi Bryski at 818-991-0991 or visit Chabadconejo.com/building
 
 
30345 Canwood St. . Agoura Hills, CA 91301
Tel: 818-991-0991 . Fax: 818-707-1190 Web:www.ChabadConejo.com E-Mail: info@chabadconejo.com