Join Us
Presenting Sponsor - $250,000
Leader - $100,000
Platinum - $50,000
Gold Sponsor - $25,000
Silver Sponsor - $12,500
Bronze Sponsor - $5,000
Tickets - $1,000
How would you like your sponsorship to be listed on our website and in the program?
Do you anticipate filling all of the seats that come with your sponsorship?
Yes
No
How many seats do you plan on using?
Please select...
1
2
3
4
5
6
7
8
9
10
11
12
How many tickets would you like to purchase?
Please select...
1
2
3
4
5
Contact Information
Salutation
Please select...
Mr.
Miss
Ms.
Mrs.
Dr.
Prof.
Rabbi
Cantor
Judge
First Name
Last Name
Preferred Name for Badge
Email
Street
City
Country
Please select...
United States
Canada
Israel
Other
Other Country
States
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Provinces
Please select...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip/Postal Code
The event is Glatt Kosher. Please list in detail any other dietary restrictions you may have.
If you have a promo code, please enter it here:
Who will be attending with you?
Spouse/Partner
Guest
Spouse
First Name
Last Name
Preferred Name for Badge
The email address of your spouse is not required, but if included we will be able to communicate directly with them about the event.
Email
Please list any dietary restrictions or allergies.
Guest 1
First Name
Last Name
Preferred Name for Badge
The email address of your guest is not required, but if included we will be able to communicate directly with them about the event.
Email
Please list any dietary restrictions or allergies.
Guest 2
First Name
Last Name
Preferred Name for Badge
The email address of your guest is not required, but if included we will be able to communicate directly with them about the event.
Email
Please list any dietary restrictions or allergies.
Guest 3
First Name
Last Name
Preferred Name for Badge
The email address of your guest is not required, but if included we will be able to communicate directly with them about the event.
Email
Please list any dietary restrictions or allergies.
Guest 4
First Name
Last Name
Preferred Name for Badge
The email address of your guest is not required, but if included we will be able to communicate directly with them about the event.
Email
Please list any dietary restrictions or allergies.
Payment Information
Sponsorship:
Payment Method
Please select...
Personal Check or Wire
Donor Advised Fund
Credit Card
You will receive an email confirming your sponsorship with information for sending a wire or a check.
The cost of goods and services ($180/person) cannot be paid by a Donor Advised Fund. If you would like to pay for the goods and services by credit card, please click below.
Credit Card
Not at this time
Goods and Services:
$
Tikvah is charged about 3% (standard market rate) for all credit card charges. Please consider making your sponsorship via ACH, wire, or check to maximize your impact.
Please add 3% to my total to cover the credit card fee
Ticket Fees
Number of Tickets:
Ticket Fees:
$
Credit Card Information
Amount
$
Name on Card
Card Number
MM
YY
Code
Billing Email
Hidden fields
Sponsorship:
$
Honeypot for spam detection
Registration Fee + Sponsorship
Guest Count
# of Goods and Services
# of Registered for Sponsors
Coupon Conversion
Coupon amount
Total Discount
Credit Card Fee Calculation
state for stripe
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