Ad Journal 

Please insert   advertisment in the journal to be published in conjunction with the Annual Dinner. An ad of $500 or more entitles one to two dinner reservations.

Place your ad copy in the box below. You may also submit your camera ready artwork or ad copy by email to [email protected]  or fax (845) 634-7422.

Ad deadline: Monday, December 24, 2012 
 

 

Contact Information
Please fill in the details below.  The fields marked with * are required

Name*                         

Address*                 

City *                       State *    Zip *

Contact No,*          

Email *                    

Payment Information
Please indicate your method of payment 
 Check
Checks should be made to Monsey Beis Chaya Mushka and sent to:
MBCM Dinner Journal  27 South Monsey Road,  10952 

 Credit Card  (to pay via PayPal first click the submt button below then go to the PayPal link on the Donation menu.)

Card # 

Exp      Security Code  

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