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Dinner RSVP & Ad Journal

Full Name*
First Name Last Name
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I would like to RSVP

Dinner RSVP
How many seats?* Please specify with names
Person #1
First Name Last Name
Person #2
First Name Last Name
Person #3
First Name Last Name
Person #4
First Name Last Name
Person #5
First Name Last Name
Person #6
First Name Last Name
Person #7
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Person #8
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Person #9
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Person #10
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I would like to place an Ad

Ad Journal (& Dinner RSVP)
Please choose*

Chai Page .......................$18,000 Includes 6 tables of 10Supporter Page ...............$10,000 Includes 4 table of 10Benefactor Page .............$5,000 Includes 3 tables of 10Diamond Page ................$3,600 Includes 2 tables of 10Platinum Page ................$2,500 Includes 1 table of 10Gold Page ......................$1,800 Includes 1 table of 10Silver Page .....................$1,000 Includes 6 seatsBronze Page ...................$770 Includes 4 seatsMitzvah (full) Page...........$613 Includes 2 seatsHalf Page ........................$380Quarter Page ...................$250Greeting (short message) $150
Will you be joining us for dinner?

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How many guest?* Please specify with names
Guest #1
First Name Last Name
Guest #2
First Name Last Name
Guest #3
First Name Last Name
Guest #4
First Name Last Name
Guest #5
First Name Last Name
Guest #6
First Name Last Name
Guest #7
First Name Last Name
Guest #8
First Name Last Name
Guest #9
First Name Last Name
Guest #10
First Name Last Name
In honor of:

Baruch & Dalia ShleichkornPhilip LevitanRabbi Mendy HersonMichael & Efrat WeisblattChabad of West Orange
In loving memory of

Shirley LevitanRabbi Moshe & Pearl Herson
Dedication
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