Click to enlarge Please enable JavaScript in your browser to complete this form.Will you be attending the 60th Celebration Hakhel Dinner? *Yes, Please reserve dinner seats at $180 per person or $300 per coupleI cannot attend the dinner but I would like to make a contributionHow many will be attending? *One - $ 180.00Two - $ 300.00Three - $ 450.00Four - $ 600.00Five - $ 750.00Six - $ 900.00Seven - $ 1,050.00Eight - $ 1,200.00Nine - $ 1,350.00Ten (Full Table) - $ 1,500.00Guest Names:Journal Dedication OpportunitiesHakhel Page - $ 10,000.0060th Anniversary Page - $ 6,000.00Diamond Page - $ 3,600.00Gold Page - $ 1,800.00Silver Page - $ 900.00Full Page - $ 500.00Half Page - $ 360.00Quarter Page - $ 180.00Greeting - $ 100.00Ad Copy: Add Media Visual Text Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmail *Other Contribution Amount:Total$ 0.00Card Information: *Card NumberMM123456789101112Expiration/YY2324252627282930313233Security CodeSubmit Questions? Call (718) 735-0250 or info@hadarhatorah.org
