Header.JPG RSVP online Sample Ads Honorees Contact us More Info

SECTION I:  PERSONAL INFO

SECTION II:  RESERVATIONS

 Last Name

 



Couvert: $125 PER PERSON 
How many will be attending?
  

In Honor of
  Representative Barry Finegold
  Mr. Jon Hirschtick
  Mr. Michael Blank
  Chabad of Merrimack Valley 
 Other

 First Name(s)  
 Address  
 City  
 State  
 Zip  
 Phone  
 E-mail  
 Please list your guests or seating requests   


SECTION III:  AD JOURNAL OPPORTUNITIES

  Builders Page: $10,000 *** 
  Crown Page: $5,000 ***
  Diamond Page: $2,500 **
  Gold Page: $1,800 **
  Silver Page: $1,000 **
  Full page: $600 **
  Half Page: $350 *
  Quarter Page: $180
  Special Corporate Package: $3,000 ****

* Entitles you to 1 dinner ticket
** Entitles you to 2 dinner tickets
*** Entitles you to 10 dinner tickets
**** Includes table of 10 and silver page ad

Ad Journal Deadline: June 18, 2009
To view sample ads (new window),
click here


SECTION IV:  PAYMENT
 Charge Amount  

Comments (optional)

 Card Type  
 Card Number  
 Expiration