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Dinner Details
Please choose one of the following ad journal sponsorship opportunities:

     

     

     

     

     

     

     

     

     

     

     
 
Please reserve the following number of seats:  
Seats are $250 per person
Additional Donation:
$
  Your total is:   $0.00
Thank you for your participation in the Matching Campaing! Looking forward to seeing you at the dinner. If you decided to upgrade your ticket status, we will be in touch with you shortly.
     
Personal Details
Title  *    
First Name * Last Name *
Address * City *
State * ZIP *
Country *    
Home Phone * Work Phone
Please make sure to fill out at least one phone number where you can be reached during the day.
Cell Email *
   
Payment Details
Payment Method *

Checks can be made payable to:
American Friends of Yeshivat Lev HaTorah,
65 Argyle Ave, New Rochelle, NY, 10804

In Canada, make payable to: Vaad Mishmeres Mitzvos
Greg Bordan, 5615 Borden Avenue, Montreal, Quebec H4V 2T9
Card Type * Card Number *
Exp. Date * / Card Holder *
CVV number  *    
 
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