RAJE FOURTH ANNUAL DINNER. THURSDAY 15 MARCH 2012. GUASTAVINOS 409 EAST 59TH STREET NEW YORK. COCKTAILS AT 5:45 PM • DINNER AT 7:00 PM

RSVP

Questions marked with a * are required.

*1. First Name
*2. Last Name
ADDRESS:
*3. Street
*4. City
*5. State
*6. Zip
*7. PHONE
*8. EMAIL
R E S E R V A T I O N S:
*9. Number of reservations
10. Please list the names of guests, if known
Reservations at $500 per person or $360 RAJE Young Leadership rate
* Payments in excess of $110 per ticket are tax-deductible as a charitable contribution
J O U R N A L :
11. Please place my ad in the dinner journal, in honor of:
DR. JACOB BIRNBAUM
MICHAEL STEINHARDT
EUGENE SCHNEUR
RON HERSH
PAUL P BERNSTEIN
NEIL AUERBACH
SONYA BEKKERMAN
EMIL BUCHMAN
RICKY COHEN
ALINA FISKINA
SANDER GERBER
ALEN GERSHKOVICH
DANIEL JACOBSON
ELAN KATZ
YAN KLATS
MARINA KOVALYOV
MARLEN KRUZHKOV
MICHAEL LIBERMAN
EDWARD MERMELSTEIN
AVI SCHRON
RONN TOROSSIAN
DENNIS YUROVSKY
MARK TSESARSKY
RABBI MORDECHAI SUCHARD
RABBI MORDECHAI TOKARSKY
RABBI REUVEN IBRAGIMOV
RAJE
OTHER
12. Other
13. Commemorative Tribute Journal
Platinum Journal Page*.......$100,000
Gold Journal Page*.......$50,000
Silver Journal Page*.......$25,000
Bronze Journal Page*.......$10,000
Leader Journal Page.......$5,000
Sponsor Journal Page.......$3,600
Partner Journal Page.......$1,800
Supporter Journal Page**.......$1,000
Friend Journal Page (half page).......$500
Friend Journal Page (quarter page).......$250
Greeting.......$100
* Includes tickets to special VIP reception & complimentary VIP dinner table
** Supporter Journal Page entitles you to two complimentary dinner reservations
14. Text of ad:
Ad deadline: March 5th, 2012
You may email your ad to: rajedinner@rajeusa.org
*15. How would you like to pay
Credit Card
Check
*16. Total amount paying