40th Anniversary Dinner Journal Dinner Honoring Randi & Arnie Spier

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Sunday, April 29, 2018 • 14 Iyyar 5778

5:00 PM - 11:00 PMFactory220, 220 Passaic Street, Passaic, NJ.

To Pay By Check Click Here And Return This Form to ahavatachimdinner@gmail.com . To pay via Credit Card or PayPal, use the form below and please enter all information.

Register

* Name

* Address

* City

* State

* Zip

* email address

Phone

SOLICITED BY

* Level

Please Select OnePARCHMENT PAGE ($3600)DIAMOND PAGE ($2500)PLATINUM PAGE ($1800)GOLD PAGE ($1000)SILVER PAGE ($750)Full Page ($400) **HALF PAGE ($250)QUARTER PAGE ($125)EIGHTH PAGE ($75)LISTING ($50)

**$400 donation entitles you to 2 reservations for the dinner**

Ad Journal Text

** To include an image in your ad or provide a camera ready copy, email ahavatachimdinner@gmail.com **

Enter Your Hebrew Ad here if desired

Rabbi’s page ($18)

Rabbi’s page Text

Memorial Listing 1 ($10)

Memorial Listing 1 Text

Memorial Listing 2 ($10)

Memorial Listing 2 Text

Children’s Listing 1 ($5)

Child 1 Name

Children’s Listing 2 ($5)

Child 2 Name

Children’s Listing 3 ($5)

Child 3 Name

Grandchild 1 Listing ($5)

Grandchild 1 Name

Grandchild 2 Listing ($5)

Grandchild 2 Name

Grandchild 3 Listing ($5)

Grandchild 3 Name

Total Cost

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Sun, July 22 2018 10 Av 5778

CONGREGATION AHAVAT ACHIM,18-25 Saddle River Road, Fair Lawn, NJ 07410