Congregaton Ohaiv Yisroel Online Ad Blank - Dinner Journal for 2018
Complete the information below to enter your ad for the 2018 Congregation Ohaiv Yisroel, Dinner-Journal Campaign. The Dinner this year honors Malka and Stu Serkin and Menachem Ickovitz who have graciously accepted the responsibilities of the Guests of Honor for their contributions to the Shul and the community.

Please join us on Sunday night, May 27th, when the Dinner is schedule. The reception will be at 5 PM and the Dinner at 6 PM. There is a cover charge of $300 per couple.

Your Name - Last Name First *
This is the name of the Donor. If the ad is solicited by someone else, enter that below.
Your answer
Address or how we can contact you. *
You must provide this information for identification and billing purposes. We may need to contact you about your ad. Enter your email address here or the phone number to reach you.
Your answer
Type of Ad *
A Full page (of any type) entitles the donor to two dinner reservations. The couvert for the dinner that is not accompanied by a full page ad is $300 per couple ($125 for each individual senior). If you are donating an ad and in addition toward the Stuey Perles Tribute page - please enter a separate entry for each.
Ad Text *
Type the text of your ad here. If you have Hebrew text but do not have an option to type Hebrew on your computer, please {bracket} your transliteration {kazeh} and we will do our best to place the correct Hebrew in your ad.
Your answer
Solicited by *
Please select "self" or indicate who solicited the ad from you if this is not an ad that will be credited to your own account. When typing the name under "Other" be sure to click the button also!
Check Number *
Please indicate the number of the check that you are submitting so that we can account for it properly. If this is a cash donation, please write "cash".
Your answer
Amount Submitted *
Please indicate the amount of the check that you are submitting or the amount of cash.
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Commit to the pledge. *
Contributions are Tax Deductible to the extent allowed by law. This form must be submitted by April 15th in order to be included in this year's journal. Checks are payable to "Congregation Ohaiv Yisroel". To email questions or ad text use:
Email Address
If you enter an email address, we will return a link to you by email so that you can review your ad as it is prepared for the Journal. You may respond back to us in order to inform us about typos, or other corrections.
Your answer
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