The Gush Dinner

Dinner Reservations & Tribute Journal


Personal Information
First Name *
Last Name *
Address *
City *
State *
Country *
Home Phone
Cell Phone
E-mail *

Please make sure to fill out at least one phone number where you can be reached during the day.

I attended Yeshivat Har Etzion in /I attended Migdal Oz in

If in school, I am now attending 


Reservation Details

I/We plan to attend the dinner. Please reserve seats
(Reservations are $325 per person, $650 per couple if not already included in your Tribute Journal Ad Level)


Please reserve seats at the alumni rate of $100 per person
(For alumni/alumnae currently in school)

I/We can't attend the dinner but would like to contribute $
Names for Reservations  I/We would like to sit with


20th Anniversary Alumni Campaign

Paying Tribute to the 1996 and 1997 machzorim on their 20th Anniversary
My donation of $  is earmarked for the Alumni Anniversary Scholarship Campaign



Tribute Journal
to be presented to the honorees
The following categories entitle you to
a table of 10

Type copy for Tribute Journal below 

The following categories entitle you to
2 dinner reservations

* All the above categories include
a listing in the Scroll of Honor
includes 2 dinner reservations
My donation is in honor of Simcha & Barbara Hochman


Payment Details
(via paypal)
(call office)


Total Amount $

$125 represents the cost of the dinner.
The remainder of your contribution is tax deductible to the extent permitted by applicable law.


My company  will provide a matching gift


Thank you for your generous support!


(c) 2017 Yeshivat Har Etzion, all rights reserved