Seats & Journal Ad Form - 2025

This form is currently closed.

Join us for the event on May 18!
RSVP below and/or make a donation to honor this year's Honorees.
Full Name:*
First Name Last Name
E-mail:*
Phone Number:*

Area Code Phone Number
To Reserve a Seat - $125 Reserve a seat without placing an ad
Number of attendees
To Reserve an Ad: seat(s) are included

True Justice $2,500 - a table (10 seats) - Diamond Full PageCompassion $1,800 - 2 seats - Gold Full PageDedication $1,000 - 2 seats - Silver Full PageEmpathy $500 - 2 seats - Sapphire Full PageBenevolence $360 - 2 seats - Ruby Full PageConcern $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

$
To Donate To Hinda Institute: Any amount

$
In Honor of:

Sam Horowitz - Hinda Hero of the YearProfessor Marc Buslik - Hinda Honoree of the YearMrs. Hindy Scheiman a"h, marking her 12th yarhtzeitHonoree volunteer of my choicePerson 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%

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