JCS · JCS Past Present Future Gala

Contact Information

Name

*

First Name

Last Name

Organization/Employer

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

*

Email

*

Verify Email

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Phone type

*

Tickets and Tributes for Ad Journal

We invite you to thank and congratulate our honorees and celebrate the creation of JCS by placing an ad in our digital tribute journal and/or attending our event. Please note that all tribute sponsorship levels (at $500 + ) include tickets.

Tributes

Would you like to purchase a sponsorship with ad?

*

Yes

No

Tribute ad deadline April 24, 2019

$25,000 - Founder: Full page Platinum ad and 10 tickets

$10,000 - Pioneer: Full page Gold ad and 4 tickets

$5,000 - Provider: Full page Silver ad and 2 tickets

$3,600 - Innovator: Full page Bronze ad and 2 tickets

$2,500 - Collaborator: Half page ad (text only) and 2 tickets

$1,000 - Partner: Quarter page ad (text only) and 2 tickets

$500 - Contributor: Name Listing and 2 tickets

$150 - Greeting only

I/we prefer to remain anonymous

Yes

Ad specifications:

-JPEG, PNG or PDF format - landscape orientation

-1000 pixels wide x 670 pixels high (Full page designed ad OR submit text)

-232 characters (Half page ad)

-116 characters (Quarter page ad)

Will you be attending ?

*

Yes

No

Please list guest(s) based on # of tickets included with desired sponsorship. If unknown, leave blank.

Tribute Guest 1

First Name

Last Name

Tribute Guest 1: Dairy, kosher style food will be served

I have no dietary requirements

I require a kosher meal

I have the following dietary requirements:

Tribute Guest 1: I have the following dietary requirements

Tribute Guest 2

First Name

Last Name

Tribute Guest 2: Dairy, kosher style food will be served

I have no dietary requirements

I require a kosher meal

I have the following dietary requirements:

Tribute Guest 2: I have the following dietary requirements

Tribute Guest 3

First Name

Last Name

Tribute Guest 3: Dairy, kosher style food will be served

I have no dietary requirements

I require a kosher meal

I have the following dietary requirements:

Tribute Guest 3: I have the following dietary requirements

Tribute Guest 4

First Name

Last Name

Tribute Guest 4: Dairy, kosher style food will be served

I have no dietary requirements

I require a kosher meal

I have the following dietary requirements:

Tribute Guest 4: I have the following dietary requirements

Tribute Guest 5

First Name

Last Name

Tribute Guest 5: Dairy, kosher style food will be served

I have no dietary requirements

I require a kosher meal

I have the following dietary requirements:

Tribute Guest 5: I have the following dietary requirements

Tribute Guest 6

First Name

Last Name

Tribute Guest 6: Dairy, kosher style food will be served

I have no dietary requirements

I require a kosher meal

I have the following dietary requirements:

Tribute Guest 6: I have the following dietary requirements

Tribute Guest 7

First Name

Last Name

Tribute Guest 7: Dairy, kosher style food will be served

I have no dietary requirements

I require a kosher meal

I have the following dietary requirements:

Tribute Guest 7: I have the following dietary requirements

Tribute Guest 8

First Name

Last Name

Tribute Guest 8: Dairy, kosher style food will be served

I have no dietary requirements

I require a kosher meal

I have the following dietary requirements:

Tribute Guest 8: I have the following dietary requirements

Tribute Guest 9

First Name

Last Name

Tribute Guest 9: Dairy, kosher style food will be served

I have no dietary requirements

I require a kosher meal

I have the following dietary requirements:

Tribute Guest 9: I have the following dietary requirements

Tribute Guest 10

First Name

Last Name

Tribute Guest 10: Dairy, kosher style food will be served

I have no dietary requirements

I require a kosher meal

I have the following dietary requirements:

Tribute Guest 10: I have the following dietary requirements

I/we will be happy to donate our unused tickets to JCS

Choose how many tickets to donate

Tickets

Would you like to purchase tickets?

Yes

No

I/We are pleased to support JCS with a donation

Tickets ($150 each) - Check box and choose quantity *	Quantity
$150

Will you be attending?

*

Yes

No

Dairy, kosher style food will be served

*

I have no dietary requirements

I require a glatt kosher meal

I have the following dietary requirements:

I have the following dietary requirements

I would like to donate tickets: (Check box and choose quantity) *	Quantity
$150

I/We are pleased to support JCS with a donation

*

$

Guest Names

Please list all guest names. If guests are not known yet, please email event@jfsri.org when you have the names.

Add a guest?

Yes

Guest 1

First Name

Last Name

Guest 1: Dairy, kosher style food will be served

I have no dietary requirements

I require a glatt kosher meal

I have the following dietary requirements:

Guest 1: I have the following dietary requirements

Add a second guest?

Yes

Guest 2

First Name

Last Name

Guest 2: Dairy, kosher style food will be served

I have no dietary requirements

I require a glatt kosher meal

I have the following dietary requirements:

Guest 2: I have the following dietary requirements

Add a third guest?

Yes

Guest 3

First Name

Last Name

Guest 3: Dairy, kosher style food will be served

I have no dietary requirements

I require a glatt kosher meal

I have the following dietary requirements:

Guest 3: I have the following dietary requirements

Add a fourth guest?

Yes

Guest 4

First Name

Last Name

Guest 4: Dairy, kosher style food will be served

I have no dietary requirements

I require a glatt kosher meal

I have the following dietary requirements:

Guest 4: I have the following dietary requirements

Add a fifth guest?

Yes

Guest 5

First Name

Last Name

Guest 5: Dairy, kosher style food will be served

I have no dietary requirements

I require a glatt kosher meal

I have the following dietary requirements:

Guest 5: I have the following dietary requirements

Add a sixth guest?

Yes

Guest 6

First Name

Last Name

Guest 6: Dairy, kosher style food will be served

I have no dietary requirements

I require a glatt kosher meal

I have the following dietary requirements:

Guest 6: I have the following dietary requirements

Add a seventh guest?

Yes

Guest 7

First Name

Last Name

Guest 7: Dairy, kosher style food will be served

I have no dietary requirements

I require a glatt kosher meal

I have the following dietary requirements:

Guest 7: I have the following dietary requirements

Add a eighth guest?

Yes

Guest 8

First Name

Last Name

Guest 8: Dairy, kosher style food will be served

I have no dietary requirements

I require a glatt kosher meal

I have the following dietary requirements:

Guest 8: I have the following dietary requirements

Add a ninth guest?

Yes

Guest 9

First Name

Last Name

Guest 9: Dairy, kosher style food will be served

I have no dietary requirements

I require a glatt kosher meal

I have the following dietary requirements:

Guest 9: I have the following dietary requirements

Add a tenth guest?

Yes

Guest 10

First Name

Last Name

Guest 10: Dairy, kosher style food will be served

I have no dietary requirements

I require a glatt kosher meal

I have the following dietary requirements:

Guest 10: I have the following dietary requirements

Please note: You will receive an email confirmation upon completion of this form. Please look for a link within the email confirmation to submit your ad.

For questions or more information, please email event@jfsri.org

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