2023 DINNER RESERVATIONS/ADS

AGUDAS YISROEL BIRCAS YAAKOV of PASSAIC

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DINNER RESERVATIONS & ADS

For information: [email protected]

Fill out and submit this form to make your reservations and/or journal ads

* Indicates required field

Name (required) *

First

Last

Email (required) *

Address (required) *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number (required) *

# 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
1. Hit the Submit button above
2. Select your donation below
3. Click on "Add to Cart" below.

The credit card option is at the
bottom right of the Paypal page.

If you don't pay online you will be billed later.

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

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

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