2019 DINNER RESERVATIONS/ADS

AGUDAS YISROEL BIRCAS YAAKOV of PASSAIC

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Reservations and Ads

Fill out and submit this form to make your reservations

Name (required) *

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Last

Email (required) *

Address (required) *

Line 1

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City

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Phone Number (required) *

* Indicates required field

# of seats men *

# of seats women *

Donation* - Choose One *

Master Builder - $10,000 Platinum - $5000 Diamond - $2500* Gold - $1800* Silver - $1000* Bronze - $600* Sponsor (full page) - $400* Supporter (half page) $250** Friend (quarter page) - $180 Appreciation (eighth page) $100 Acknowledgment - $54

* Includes two dinner reservations
** Includes one dinner reservation

Ad text (required) *

Upload File, business card etc. *

Max file size: 20MB

Submit

Online Payment Here
If you would like to pay now, be sure to hit the Submit button above and then select your donation below and click on "Add to Cart" below. Otherwise, you will be billed later.
The credit card option is at the
bottom right of the Paypal page.

ALERT!
BE SURE TO HIT THE SUBMIT BUTTON ABOVE BEFORE PROCEEDING TO
"ADD TO CART" ONLINE PAYMENT BELOW - OTHERWISE ALL YOUR AD INFORMATION WILL BE LOST

Ad Options

Agudas Yisroel Bircas Yaakov of Passaic     •     262 Terhune Ave, Passaic, NJ 07055

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