Join Us as a Sponsor Presenting Sponsor - $250,000Leader - $100,000 Platinum - $50,000 Gold Sponsor - $25,000 Silver Sponsor - $12,500Bronze Sponsor - $5,000 How would you like your sponsorship to be listed on our website and in the program? Do you anticipate filling all of the seats that come with your sponsorship?YesNo How many seats do you plan on using?Please select... 1 2 3 4 5 6 7 8 9 10 11 12 How many tickets would you like to purchase?Please select... 1 2 3 4 5 Contact Information SalutationPlease select... Mr. Miss Ms. Mrs. Dr. Prof. Rabbi Cantor Judge First Name Last Name Preferred Name for Badge Email Street City CountryPlease select... United States Canada Israel Other Other Country StatesPlease select... AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ProvincesPlease select... Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Zip/Postal Code The event is Glatt Kosher. Please list in detail any other dietary restrictions you may have. If you have a promo code, please enter it here: Who will be attending with you?Spouse/PartnerGuestNot Sure Yet Spouse First Name Last Name Preferred Name for Badge The email address of your spouse is not required, but if included we will be able to communicate directly with them about the event. Email Please list any dietary restrictions or allergies. Guest 1 First Name Last Name Preferred Name for Badge The email address of your guest is not required, but if included we will be able to communicate directly with them about the event. Email Please list any dietary restrictions or allergies. Guest 2 First Name Last Name Preferred Name for Badge The email address of your guest is not required, but if included we will be able to communicate directly with them about the event. Email Please list any dietary restrictions or allergies. Guest 3 First Name Last Name Preferred Name for Badge The email address of your guest is not required, but if included we will be able to communicate directly with them about the event. Email Please list any dietary restrictions or allergies. Guest 4 First Name Last Name Preferred Name for Badge The email address of your guest is not required, but if included we will be able to communicate directly with them about the event. Email Please list any dietary restrictions or allergies. Payment Information Sponsorship: Payment MethodPlease select... Personal Check or Wire Donor Advised Fund Credit Card You will receive an email confirming your sponsorship with information for sending a wire or a check. The cost of goods and services ($180/person) cannot be paid by a Donor Advised Fund. If you would like to pay for the goods and services by credit card, please click below. Credit CardNot at this time Goods and Services: $ Tikvah is charged about 3% (standard market rate) for all credit card charges. Please consider making your sponsorship via ACH, wire, or check to maximize your impact. Please add 3% to my total to cover the credit card fee Ticket Fees Number of Tickets: Ticket Fees: $ Credit Card Information Amount $ Name on Card Card Number MM YY Code Billing Email Hidden fields Sponsorship: $ Honeypot for spam detection Registration Fee + Sponsorship Guest Count # of Goods and Services # of Registered for Sponsors Coupon Conversion Coupon amount Total Discount Credit Card Fee Calculation state for stripe reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA.