Registration 2026 - Etzion Foundation

1Personal Information

2Tribute Journal Ad Level/Donation

3Create Your Journal Ad

4Dinner Reservations

5Payment

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 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

The Israel Koschitzky VBM

Other

What year did you attend?*

Name of Child*

Will your company match your contribution?

Yes

Name of Company

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 Dinner.

SCROLL OF HONOR Pillar - $100,000 Entitles you to a table of 10

SCROLL OF HONOR Master Builder - $75,000 Entitles you to a table of 10

SCROLL OF HONOR Builder - $50,000 Entitles you to a table of 10

SCROLL OF HONOR Benefactor - $36,000 Entitles you to a table of 10

SCROLL OF HONOR Patron - $25,000 Entitles you to a table of 10

SCROLL OF HONOR Chai Founder - $18,000: Entitles you to a table of 10

SCROLL OF HONOR Scholarship - $10,000 Entitles you to a table of 10

SCROLL OF HONOR Guardian - $5,000 Entitles you to 2 dinner tickets

SCROLL OF HONOR Founder - $3,600 Entitles you to 2 dinner tickets

SCROLL OF HONOR Donor - $2,500 Entitles you to 2 dinner tickets

SCROLL OF HONOR Supporter - $1,800 Entitles you to 2 dinner tickets

SCROLL OF HONOR Friend - $1,000 Entitles you to 2 dinner tickets

Full-Page Ad - $850 Entitles you to 2 dinner tickets

Half-Page Ad - $500 Entitles you to 1 dinner ticket

Quarter-Page Ad - $325

Greeting (includes one line) - $180

Other Amount

I would just like to make a dinner reservation

I would just like to make a donation

This field is hidden when viewing the form

Quantity*

Amount to Donate*

Donation Amount*

My donation is in honor of:

Gadi and Jana Romm

Rabbi Elliot '07 & Rena Schrier/Schrier Family Classroom at Yeshivat Har Etzion

Rachel Weber Leshaw MO ‘09

Yeshivat Har Etzion 20th Anniversary Scholarship Campaign

Migdal Oz 20th Anniversary Scholarship Campaign

Someone else:

Enter Name*

Total

Price Admin*

Other Donation*

Total Donation

You are entitled to a Scroll of Honor page in the Tribute Journal

You are entitled to a Full-Page Ad in the Tribute Journal

You are entitled to a Half-Page Ad in the Tribute Journal

You are entitled to a Quarter-Page Ad in the Tribute Journal

You are entitled to a one line in the Greeting

Do you want to place an ad in the Tribute Journal?*

Yes

My ad is in honor of:

Gadi and Jana Romm

Rabbi Elliot ’07 and Rena Schrier

Schrier Family Classroom at Yeshivat Har Etzion

Rachel Weber Leshaw MO ‘09

Yeshivat Har Etzion 20th Anniversary Scholarship Campaign

Migdal Oz 20th Anniversary Scholarship Campaign

Someone else:

Enter Name*

Your Message

Total Donation

Do you plan on attending the dinner?*

Yes

Would you like to make a reservation for someone else?

Yes

You are entitled to make reservations for a table of 10.

You are entitled to 2 dinner reservations.

You are entitled to 1 dinner reservation.

Names of People Attending*

Dinner Reservation Only*

$375 per Person

Young Professionals $150 for 1 Person

Young Professionals $250 for a couple

Alumni/Alumnae currently in school $85 for 1 Person

Dinner Reservation Only*

$375 per Person

Young Professionals $150 for 1 Person

Young Professionals $250 for a couple

Alumni/Alumnae currently in school $85 for 1 Person

Would you like to make another reservation?*

$375 per Person

Young Professionals $150 for 1 Person

Young Professionals $250 for a couple

Alumni/Alumnae currently in school $85 for 1 Person

$375 per Person - Quantity

Young Alumni $150 for 1 Person - Quantity

Young Alumni $250 for a Couple - Quantity

Alumni/Alumnae Currently in School $85 for 1 Person - Quantity

Would You like to make another Reservation?

$375 per Person

Young Professionals $150 for 1 Person

Young Professionals $250 for a couple

Alumni/Alumnae currently in school $85 for 1 Person

Would you like to make another reservation?

$375 per Person

Young Professionals $150 for 1 Person

Young Professionals $250 for a couple

Alumni/Alumnae currently in school $85 for 1 Person

$375 per Person - Quantity

Young Alumni $150 for 1 Person - Quantity

Young Alumni $250 for a Couple - Quantity

Alumni/Alumnae Currently in School $85 for 1 Person - Quantity

$375 for One Person

Price:

$375 for One Person

Price:

Young Alumni $150 for 1 Person

Price:

Young Alumni $150 for 1 Person

Price:

Young Alumni $250 for a Couple

Price:

Young Alumni $250 for a Couple

Price:

Alumni/Alumnae currently in school $85 for 1 Person

Price:

Alumni/Alumnae currently in school $85 for 1 Person

Price:

Who are these reservations for?*

Seating Request

Your Total

Total Donation

Please Note:

$180 represents the cost of the dinner.

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.

{Donation/Ad Level:48} {Would you like to make another reservation?:61}{Dinner Reservation:122}

Your Ad is in honor of {Is your ad in honor of?:40} Your Ad text is " {Your Message:26} "

Your Ad is in honor of {Is your ad in honor of?:40} Name is {Enter Name:43}
Your Ad text is " {Your Message:26} "

This field is hidden when viewing the form

Payment

How do you want to pay?*

Paypal/Credit Card

Check

Please mail your check of Total : {Total:73} to Etzion Foundation 111 Galway Place Teaneck NJ 07666

Payment Method*

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

Mail Your Check at

Dinner Reservation / Donate

Payment

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

Dinner Reservation / Donate

Payment

Etzion Foundation

Yeshivat Har Etzion | Migdal Oz111 Galway Place, Suite 203Teaneck NJ 07666

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

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