2013 Dinner - Yeshivat Sha'alvim

Shaalvim Reception

June 18th

At the Fifth Avenue Synagogue

You are on a SSL Secure page

I would like to donate/participate in the 2013 Reception

Sponsorship options for the event can be made in honor of alumni, or in memory of Rav Galinsky ztl. All Sponsorships will be listed in the Scroll of Honor.

Shaalvim Champion	$5,400
Platinum Sponsor	$3,600
Gold Sponsor	$1,800
Silver Sponsor	$1,000
Bronze Sponsor	$500
Sponsor	$250
Other
In memory of Rav Galinsky

Please reserve the following amount of seats for me:

Is your donation in honor of a specific alumnus or group of alumni?
If so, please enter their name(s) below. Click here for the full list of alumni

Please enter the name(s) of those will be attending the event:

Donor Details

First Name *

Last Name *

Address *

Address 2

City *

State

ZIP *

Country *

Email *

Phone number *

Payment Details

Card Type *		Card Number *
Exp. Date *	/	Owners Name *
CVV *	(3 or 4 digits on the back of the card)

Comments

A notification will be sent to you via e-mail to confirm that your donation has been received.