Etzion Foundation

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Brunch Reservation / Donate

1Personal Information

2Tribute Journal Ad Level/Donation

3Create Your Journal Ad

4Brunch Reservation

5Payment Method

6Payment

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Data ID
First Name (required)*
Last Name*
Street Address*
City*
State
State*
ZIP*
Country*
Spouse's Name
Phone*
Email*
- How are you connected?
  - Alumnus of Yeshivat Har Etzion
  - Alumna of Migdal Oz
  - Parent of Yeshivat Har Etzion Alumnus
  - Parent of Migdal Oz Alumna
  - Other
- What year did you attend?*
- Name of Child*
Will your company match your contribution?
- Yes
- No
Name of Company

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State
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Country
Tribute Journal Ad Level/Donation*
A special commemorative Tribute Journal will be presented to the Honorees.

The Scroll of Honor will be distributed at the Brunch.

Donations of $1000 and above will be listed in the Scroll of Honor and included in the Tribute Journal.
- The following categories entitle you to 10 Tickets
- SCROLL OF HONOR Benefactor - $36,000 & above
- SCROLL OF HONOR Patron - $25,000
- SCROLL OF HONOR Chai Founder - $18,000
- SCROLL OF HONOR Scholarship - $10,000
- The following categories entitle you to 2 Tickets
- SCROLL OF HONOR Guardian - $5,000
- SCROLL OF HONOR Founder - $3,600
- SCROLL OF HONOR Donor - $2,500
- SCROLL OF HONOR Supporter - $1,800
- SCROLL OF HONOR Friend - $1,000
- The following categories will be included in the Tribute Journal only
- Full-Page Ad (includes 2 Tickets) - $850
- Half-Page Ad (includes 1 Ticket) - $500
- Quarter-Page Ad - $325
- Individual reservations are at $180 per person
- Couvert - $180 per person
- Special Rates (Ages 30 and under)
- Alumni/Alumnae who are full-time students $85
- Other Amount
How many you want?*
Amount to Donate*
You are entitled to a Brunch Ticket*.
Total
$0.00
Price Admin*
Other Donation*

Total Donation
$0.00
You are entitled to a Scroll of Honor page in the Tribute Journal
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You are entitled to a Full-Page Ad in the Tribute Journal
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You are entitled to a Half-Page Ad in the Tribute Journal
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You are entitled to a Quarter-Page Ad in the Tribute Journal
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Do you want to place an ad in the Tribute Journal?*
- Yes
- No
Is your ad in honor of?
- Dr. Jeremy (Yuri) Simon ‘86 and Allie Alperovich
- Rabbi Dr. Benjamin J. '86 & Stephanie Samuels
- Rabbi Dr. Shlomo '05 & Chana Zuckier
Your Message

Do you plan on attending the brunch?*
- Yes
- No
Would you like to make a reservation for someone else?*
- Yes
- No
You are entitled to make reservations for a table of 10.
Names of People Attending*
You are entitled to 2 tickets.
Names of People Attending*
You are entitled to {field:47} ticket(s).
Names of People Attending*
You are entitled to 1 ticket.
Names of People Attending*
Seating Request

Total Donation
$0.00
Please Note:

$75 is the value of the brunch per person.

The remainder of your contribution is tax deductible to the extent permitted by applicable law.

Please be reminded that grants from donor-advised funds may not be used to provide benefits to the donor.
SCROLL OF HONOR Benefactor - You are entitled to 10 tickets.
SCROLL OF HONOR Patron - You are entitled to 10 tickets.
SCROLL OF HONOR Chai Founder - You are entitled to 10 tickets.
SCROLL OF HONOR Scholarship - You are entitled to 10 tickets.
SCROLL OF HONOR Guardian - You are entitled to 2 tickets
SCROLL OF HONOR Founder - You are entitled to 2 tickets
SCROLL OF HONOR Donor - You are entitled to 2 tickets
SCROLL OF HONOR Supporter - You are entitled to 2 tickets.
SCROLL OF HONOR Friend - You are entitled to 2 Tickets
Full-Page Ad - You are entitled to the Brunch tickets for 2.
Half-Page Ad - You are entitled to a Brunch ticket for 1.
Student Rate (alumnus/alumna currently in school) You are entitled to a Dinner Package
Your Ad is in honor of {Is your ad in honor of?:40} Your Ad text is " {Your Message:26} "
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Payment
How do you want to pay?*
Please mail your check of {Total:73} to The Etzion Foundation, 111 Galway Place, Suite 203, Teaneck NJ 07666. Please add the word "Brunch" in the memo section.
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Mail Your Check at

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Payment Method*

American Express
MasterCard
Visa
Supported Credit Cards: American Express, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Etzion Foundation

Yeshivat Har Etzion | Migdal Oz
111 Galway Place, Suite 203
Teaneck NJ 07666

P: (212) 732-GUSH (4874)
F: (201) 833-0833
usoffice@haretzion.org
www.etzionfoundation.org