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Name
*
First Name
Last Name
Email
*
Verify Email
*
Cell Phone
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
I am a(n)
*
Alum
Parent
Parent of a Graduated Student
Graduate Student
Undergraduate Student
Faculty/Staff
Guest
What is your graduation year?
Name of your student #1
First Name
Last Name
Graduation Year
Name of your student #2
First Name
Last Name
Graduation Year
Friend of/attending in support of:
Gala Ticket Information
Quantity
$136
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Young Alumni (Graduates from 2008 to present)
0
1
2
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5
6
7
8
9
10
11
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13
14
15
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19
20
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22
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24
25
26
27
28
29
30
30
$200
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Gala Couvert
0
1
2
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4
5
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8
9
10
11
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17
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25
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30
30
Gala Ad Journal Information
Quantity
$36,000
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Ad Journal Rate: Back Cover (includes 10 gala tickets)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
$25,000
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Ad Journal Rate: Front Inside Cover (includes 10 gala tickets)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
$18,000
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Ad Journal Rate: Back Inside Cover (includes 10 gala tickets)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
$15,000
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Ad Journal Rate: Platinum (includes 10 gala tickets)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
$10,000
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Ad Journal Rate: Gold (includes 10 gala tickets)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
$7,500
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Ad Journal Rate: Silver (includes 2 gala tickets)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
$5,000
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Ad Journal Rate: Bronze (includes 2 gala tickets)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
$3,600
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Ad Journal Rate: Scarlet & Black (includes 2 gala tickets)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
$1,800
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Ad Journal Rate: Full Page (includes 2 gala tickets)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
$1,000
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Ad Journal Rate: Half Page
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
$550
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Ad Journal Rate: Quarter Page
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
$300
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Ad Journal Rate: Eighth Page
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
$100
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Ad Journal Rate: Greeting
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
Ad Sizes
Full Page - 5" x 7 1/4"
Half Page - 5" x 3 1/2"
Quarter Page - 2 3/8" x 3 1/2"
Eighth Page - 2 3/8" x 1 5/8"
Total number of people in your party
Names of those in your party
Attach your ad here for the gala journal:
For any questions regarding the ad journal, please contact Barbara Cohen at: 732-545-2407 ext. 24 or at barbarac@rutgershillel.org
Add 3% to my total amount to help cover the payment processing fees