July 29th, 7:30PM at Keter Torah$125 Per Couple | $360 For VIP 1Registration2Payment Registration InfoName(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Date of Birth(Required)Select Attendee Package(Required)VIP includes reserved parking and and a gift bag I would like to join the Giving Circle $62.50 per Person $125 a Couple $360 VIP Ticket $235 Giving Circle member VIP upgrade I am a Giving Circle member (Reservation Only) This field is hidden when viewing the formSelect Attendee Package - Product Field I would like to join the Giving Circle $62.50 per Person $125 a Couple $360 VIP Ticket $235 VIP Ticket (Giving Circle member) I am a Giving Circle member (Reservation Only) VIP includes reserved parking and and a gift bag Ezrah has started an initiative called the “YLC Giving Circle”. For $85 a month you can make a major impact on your community. Join this exclusive group of young leaders in our community today! With a three year pledge to be part of the giving circle you receive two tickets to both the YLC Summer Night Out Event and the Ezrah Annual Dinner in December. In addition you will be invited to exclusive events and be part of the safety net that holds up Bergen County.Giving Circle MembershipGiving Circle Payment Options(Required) $85 per month $500 biannually $1,000 annually Giving Circle VIP UpgradeThis field is hidden when viewing the formGiving Circle Upgrade to VIP Upgrade to VIP for only This field is hidden when viewing the formTodays Date MM slash DD slash YYYY Attendee Name(Required) Add RemoveSingle Attendee QuantityCouple Attendee Names(Required)Name OneName Two Add RemoveCouple Attendee QuantityVIP Attendee Names(Required)Name OneName TwoVIP Couple Attendee QuantityTotal AttendeesHow did you hear about the event?(Required) Jewish Link Jewish Standard Email from Ezrah Friends and Family Social Media Post Other Please share the name of the shul you attend(Required)Attendee Subtotal Price: $0.00 Registration Subtotal $0.00 This field is hidden when viewing the formCoupon CodeWould you like to make a voluntary additional donation? Yes No Thank you for being part of our exclusive group of young leaders in our community today! Your tickets to both the YLC Summer Night Out Event and the Ezrah Annual Dinner in December are included in your membership. Click submit to finish registration.Additional Donation - Fully DeductibleDonation Amount Tribute Type None In Memory Of In Honor Of Tribute NameTribute Special NotePaymentTransaction Fee AmountThis field is hidden when viewing the formTransaction Fees Help cover our transaction fees ($) so that 100% of your registration fee and donation goes to those in need. Transaction Fee Product Price: $0.00 Help cover our transaction fees so that 100% of your registration fee and donation goes to those in need.Total The next payment for your circle membership will be for $85 in 30 days.The next payment for your circle membership will be for $500 in 180 days.The next payment for your circle membership will be for $1,000 in 360 days.Credit CardCard Details Cardholder Name This field is hidden when viewing the formWould you like to be a member of the Giving Circle?Ezrah has started an initiative called the “YLC Giving Circle”. For $85 a month you can make a major impact on your community. Join this exclusive group of young leaders in our community today! With a three year pledge to be part of the giving circle you receive two tickets to both the YLC Summer Night Out Event and the Ezrah Annual Dinner in December. In addition you will be invited to exclusive events and be part of the safety net that holds up Bergen County. Yes, I would like to join the giving circle! Please be in touch with me with further information. No Δ
