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RSVP

CHABAD OF PALOS VERDES
21ST ANNUAL GALA 2024
If you need help with this form or placing a reservation please feel free to call the office at: 310.544.5544
GALA RESERVATIONS & HONOR ROLL OPPORTUNITIES
Full Name*
First Name Last Name
E-mail*
Phone Number

Area Code Phone Number
*

YES, I/We will attend the GalaPlease reserve table at $1,800 per tableI cannot attend but I am pleased to contribute
How many People will attend?*
HONOR SCROLL OPPORTUNITIES
YES, Please include me in the Honor Scroll*

PARTNER $18,000 (Includes 2 tickets)BENEFACTOR $10,000 (Includes 2 tickets)PLATINUM $5,400 (Includes 2 tickets)GOLD $3,600 (Includes 2 tickets)SILVER CIRCLE $2,500 (Includes 2 tickets)CHAI CIRCLE $1,800 (Includes 2 tickets)BRONZE $1000 (Includes 2 tickets)SUPPORTER $500SPONSOR $360FRIEND $180None
Other Amount Use this field if you would like to donate an amount not listed in the honor scroll list

$
Sponsor RSVP Use this field only if you are a Bronze Sponsor or above
Total

$0.00
PAYMENT

Payment*

Credit Card

We accept Visa, MasterCard, American Express
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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GALA RESERVATIONS & HONOR ROLL OPPORTUNITIES