| will attend the Gala Dinner. Please reserve seat(s) at $250 per person. |
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| I/we wish to honor Mr. James Gould and support the vital work of Beth Menachem Chabad with an ad in the Tribute Journal or with a contribution. |
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| Includes: option of Trustee journal page plus table of up to 10 dinner reservations |
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| Includes: option of Emerald journal page plus table of up to 10 dinner reservations |
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| Includes: option of Diamond journal page plus 4 dinner reservations |
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| Includes: option of Gold journal page plus 2 dinner reservations |
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| Includes: option of Chai journal page plus 2 dinner reservations |
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| Contributions are tax deductible to the extent allowed by law. |
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| I/We would like to be seated with |
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