Couvert: $600 per couple • Kindly RSVP by May 15

Reservations
Please secure reservation(s) for the Celebratory Gala on my behalf in the following Category of Support [See Section 2]   Names of persons attending
I/we are unable to attend but wish to celebrate this milestone with a donation of $  

Support Categories
Premier Benefactors
In addition to two reservations to the Gala and recognition in the evening’s printed Program, each Premier benefactor will be presented with an artistically-designed and elegantly-engraved award of fine Judaica to be displayed at the Gala and to serve as a centerpiece in one’s home
Lighthouse Keeper | $25,000 Community Lamplighter | $10,000 Beacon of Benevolence | $5,400
Kindler of Kindness | $3,600 “Chai” Illuminator | $1,800  
Gold-Standard Supporters
In addition to two reservations to the Celebratory Gala, each Gold Standard supporter will be formally recognized in the evening’s printed Program
Torch of Torah | $1,000 Candle of Mitzvos | $600

Payment
Credit Card Check
*Checks should be made payable to Chabad of North Hollywood and mailed to 13079 Chandler Blvd, Sherman Oaks, CA 91401
Card Information
Total Amount
Total to be charged TODAY
Credit Card Type
Card Number
Exp. Date
  		Cvv Code
Contact Information
First Name
Last Name
Address
City / State / Zip
    		Phone
Email
Contributions are tax-deductible to the full extent allowed by law.