Tributes & RSVP

Tributes & RSVP
1. Reservations
Full Name*
First NameLast Name
Phone Number*
Area CodePhone Number
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Company Name
Will attend
Gala reservation is included with half page (or higher) journal ad.Gala dinner reservation ($180 per person)
Number of Gala Dinner Reservations (not included in journal ad)
$180 per person
Please list dinner guests below:
(If not attending write N/A above)
Unable to attend
But would like to place an ad in the tribute journal
2. Tribute Opportunities
Select One:
Event Host (Includes event host dedication, a room dedication in the Hospitality House, back-cover journal page, a private reception with Dennis Prager and two reserved tables) [$100,000]Champion of Hope (Includes a room dedication in the Hospitality House, a champion of hope journal page, a private reception with Dennis Prager and two reserved tables) [$50,000]Founders of Hope (Includes Shabbat table dedication in the Hospitality House, founder of hope journal page, a private reception with Dennis Prager and two reserved tables) [$36,000]Pillar of Hope (Includes a Shabbat seat dedication in the Hospitality House, a pillar of hope journal page, a private reception with Dennis Prager and one reserved table) [$18,000]Diamond of Hope (Includes a dedication of two gala dinner tables, diamond of hope journal page, a private reception with Dennis Prager and one reserved table) [$10,000]Platinum (Includes a dedication of one gala dinner table, a platinum journal page, a private reception with Dennis Prager and six reservations) [$5,000]Gold (Includes gold journal page and six reservations) [$3,600]Ruby (Includes ruby journal page and four reservations) [$1,800]Full Page (Includes a full page journal ad and two reservations) [$1,000]Half Page (Includes a half page journal ad and one reservation) [$500]
Choose your own contribution amount
$
Write the text of your Event Journal ad here:
All camera-ready designs, including business cards, must be submitted in hi-res JPEG, PDF or PSD format to [email protected] .

Designs can be either black and white or full color. You can also submit your ad text using the designated box above.

Full Page 8 1/2" x 5 1/2" | Half Page 4 1/4" x 5 1/2" | Quarter Page 4 1/2" x 2 3/4"
3. Payment
Total
$0.00

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Should be Empty:

This page uses TLS encryption to keep your data secure.

Tributes & RSVP

1. Reservations

2. Tribute Opportunities

3. Payment