24th GALA DINNER
& AUCTION

 

HONORING
 

JILL AND ADAM FOREM
VERED LEV
PAOLA AND KFIR SAYAG

honorees5780.jpg 

 

SUNDAY, JANUARY 12TH - 6:00PM

ROCKLEIGH COUNTRY CLUB
 ROCKLEIGH, NJ

 
***

ANNUAL AUCTION

TO PARTICIPATE AND SEE THE AMAZING,
FULL PACKAGES TBD

 

 

[1] PERSONAL INFO

[2] RESERVATIONS

First Name

Please select one of the following
RSVP & Journal Ad
Reservation Only ($200 per person)
Journal Ad Only

How many will be attending?

IN HONOR OF
 JILL AND ADAM FOREM
 VERED LEV
 PAOLA AND KFIR SAYAG
Other

Last Name
Address
City
State
Zip
Phone
E-mail

[3] AD JOURNAL OPPORTUNITIES

Diamond Page: $18,000 *****
Ruby Page: $10,000 ****
Gold Page: $5,400 ***
Silver Page: $3,600 **
Bronze Page : $1,800 *
Full Page: $1,500
Half Page: $770
Quarter Page: $360
Eighth Page: $180
Children's Page (One Name): $54
Best Wishes Listing (One Name): $36

***** Entitles you to 10 dinner tickets
**** Entitles you to 8 dinner tickets
*** Entitles you to 6 dinner tickets
** Entitles you to 4 dinner tickets
* Entitles you to 2 dinner tickets

[4] PAYMENT

Cardholder's First Name  
Cardholder's Last Name  
Charge Amount

Please indicate seating preferences:

Card Number
(no dashes)
 

Expiration
Security Code