Couvert: $1,800 per couple • Kindly RSVP by March 7, 2019 Reservations Please secure reservation(s) for the Trustees Banquet 2019 on my behalf in the following investment of Support [See Section 2] Names of persons attending Support Categories Crown Jewel | $18,000 Diamond Supporter | $10,000 Governor | $5,400 Golden Benefactor | $3,600 Chai Founder | $1,800 Payment Credit Card Check *Checks should be made payable to Chabad of North Hollywood and mailed to 13079 Chandler Blvd, Sherman Oaks, CA 91401 Please charge my card equally over the following three months: February March April May June July Card Information Total Amount Total to be charged TODAY Credit Card Type Please Select Visa Mastercard American Express Card Number Exp. Date Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2018 2019 2020 2021 2022 2023 2024 2025 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. This page uses 128 bit SSL encryption to keep your data secure.