Check Registration Form 2017

Registration Form for Payment by Check

Sunday, December 3, 2017

5:00 pm Reception and Dinner
6:30 pm Program and Entertainment

Marriott Marquis Hotel - Manhattan
1535 Broadway (at 46th Street)
New York, New York 10036

Questions? Contact Us:
Office Hours: (718) 482-4134
Email: baruch@IsraelNationalNews.com

The Bet El Annual Gala Dinner - New York's most prominent Israel event - attracts 1400+ guests. Empower Bet El and the State of Israel by attending and sponsoring a page in our elaborate journal.

The Journal is closed. Ads are no longer being accepted

Attendee / Donor Information
Attendee / Donor Full Name*

First NameLast Name
Email Address*
Confirm Email Address*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
This number is*

CellularHomeWork
Additional Phone Number:

Select a Reservation Category
Please select your Dinner Reservation or Donation Category from the drop down box below and, if it applies to your situation, write in your donation amount for one of the three type-in options below

Founder’s Page (Ruby).............................$25,000 - Journal Ad and dinner tickets

Master Builder’s Page (Emerald)................$18,000 - Journal Ad and dinner tickets

Builder’s Page (Sapphire)..........................$10,000 - Journal Ad and dinner tickets

Diamond Page ..........................................$5,000 - Journal Ad and 10 dinner tickets

Platinum Page .........................................$3,600 - Journal Ad and 8 dinner tickets

Gold Page ...............................................$1,800 - Journal Ad and 6 dinner tickets

Silver Page ..............................................$1,000 - Journal Ad and 4 dinner tickets

Full Page ....................................................$500 - Journal Ad and 2 dinner tickets

1/2 Page ....................................................$300 - Journal Ad and 1 dinner ticket

1/4 Page ....................................................$200 - Journal Ad

See more categories below.
Select your Dinner Reservation or Donation Category from the drop-down box
Young Leadership Table - Suggested Donation $120 per person or $200 per couple
Contributing but not attending - We are /I am happy to support the organization with a gift of
Attending with a Custom Donation -- We are/I am happy to support Bet El with a gift of

Reservations Details
Attending? -- Please select:*

Yes, but not placing an ad.Yes, I will enter my ad text in the "Ad Journal Details" section below.I am not attending.
Please enter the number of reservations being made.*
Please list the names of all Attendees and Guests in a separate box.*
Seating Preferences (sit with a friend, etc.)? -- Submit before Dec. 1*
* Every effort will be made to accommodate your preferences. We appreciate your understanding and support.

Ad Journal Details
The Journal is closed. Ads are no longer being accepted
Enter Ad copy or listing or check box below.
To send a camera ready ad, check the box below. Full page ad dimensions are 6" x 9" (live area) centered in a 8.5" x 11" page. The ad pages have borders that we are printing. Supply Press-Optimized PDF, 300 dpi, grayscale, with all fonts embedded and converted into outline vector art.
Please supply crop marks:

Send the PDF file including the name used to place this reservation to afbeyc@ix.netcom.com.