Please Join Us in Celebrating Life - L'Chaim! $180 per person • $360 per Couple • $1800 per Table Ad Journal Deadline: May 5, 2013 Reservations & Seating I/we would like to reserve seats at the Dinner at $180 per seat I/we prefer to be seated with Names of persons attending I/we would like to reserve 2 seats at the Dinner at $360 per Couple I/we would like to reserve Tables (12 seats/table) at the Dinner at $1800 per table Please reserve seats as included in our Partnership Contribution I/we are unable to attend, but would like to donate $ towards your Milestone Celebration Evening Gala Journal We invite you to join in this celebration of life by placing an ad in the Gala’s tribute Journal. You may place an ad in honor of the Gala’s honorees, as a tribute to Chabad, or to honor/celebrate/memorialize a loved one. This Gala Tribute Journal will also serve as an effective venue to advertise your business and its solidarity with the legendary work of Chabad-Lubavitch of Greater Boynton. PLEASE ACCEPT MY CONTRIBUTION IN THE FOLLOWING CATEGORY: Platinum Sponsor | $10,000 Includes one table (12 Guests) & Platinum Page in Gala Journal Half Page | $500 Diamond Sponsor | $7,200 Includes one table (12 Guests) & Diamond Page in Gala Journal Quarter Page | $250 Gold Sponsor | $5,000 Includes one table (10 Guests) & Gold Page in Gala Journal Business Card | $150 Silver Sponsor | $2,600 6 Banquet Guests & Silver Page in Gala Journal Eighth Page | $100 Table Sponsor | $1,800 12 banquet guests & Full Page ad in Gala Journal Two Line Greeting| $50 Full Page | $1,000 One Line Greeting | $18 My/Our ad is in honor of: Chabad of Greater Boynton In memory of In honor of Other **To send artwork, email [email protected] Please print your message below: Payment Credit Card Check *Checks should be made payable to Chabad Lubavitch of Greater Boynton and sent to 10655 El Clair Ranch Road, Boynton Beach, Florida 33437 Card Information Total Amount Total to be charged TODAY Credit Card Type Please Select Visa Mastercard Card Number Exp. Date Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2013 2014 2015 2016 2017 2018 2019 2020 Cvv Code Contact Information First Name Last Name Address City / State / Zip Phone Email All contributions are tax deductible to the maximum permitted by law. This page uses 128 bit SSL encryption to keep your data secure.