בס"ד

Reservation

I would like to make reservation(s) for the Annual Dinner at $360 per couple:

Men ladies

I am making a donation of $500 or more, which entitles me to 2 dinner reservations.

Sorry, I cannot attend, but I am making a contribution of $
* Please note in the comment section below if this donation is to be made IN HONOR OF or IN MEMORY OF someone

Journal Ad Rates

Please select one:

Sapphire Page $ 10,000
Ruby Page $ 5,000
Diamond Page $ 3,600
Gold Page $ 1,800
Silver page $ 1,000
Full Page $ 500
Half Page $ 360
Quarter Page $ 180
Greeting (2 Lines) $ 72

Please Note: A Contribution of $500 or More entitles you to two Dinner Reservation.


Ad Journal

Option 1

If you would like our office to write your ad - for you - in honor of:

Option 2

Please type Your own text:

Contact Information


Name:
Address
City,State,Zip
Tel
E-mail


Payment Information


Please indicate your method of payment

Check Checks should be made to Monsey Beis Chaya Mushka and sent to:
MBCM 27 South Monsey Road, Monsey NY 10952
PayPal
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Please note: in order to complete the payment (via PayPal or Credit Card) please click the submit button first, then a message will popup then press on the payment Button


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