Seats & Journal Ad Form

This form is currently closed.

RSVP for the event or make a donation in honor of the Honorees below.
Full Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
If you need CLE credits for the lecture, please provide your ARDC number:
RSVP for the event on June 2nd 1:00 PM CST
To Reserve a Seat - $125 Reserve a seat without placing an ad
Number of attendees
To Reserve an Ad seat(s) included

True Justice $2,500 - a table (10 seats)Compassion $1,800 - 2 seatsDedication $1,000 - 2 seatsEmpathy $500 - 2 seatsBenevolence $360 - 2 seatsConcern $250 - 1 seatKindness $180 - ad only (no seat)
How many seats do you need?*
How many seats do you need?*
How many seats do you need?*
To Donate To 'Children in Need' Program Any amount

$
In Honor of

Ms. Aviva Miriam Patt - Executive Director, The Decalogue SocietyNick Seidel - Hinda Hero AwardBarbara Belsky - Evan Maling "Mother of the Year" AwardMr. Rahmiel Hayyim Drizin - Volunteer of the Year AwardMrs. Hindy Scheiman a"h, marking her 11th yarhtzeitHonoree of my choice
Please write the text of your ad here. If your ad contains artwork, please email us at [email protected].
Names of additional attendees
Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 2.5%

Payment*

Credit Card Paypal Canadian Donation

Postal / Zip Code

Country

This page uses TLS encryption to keep your data secure.

More in this section

Services