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Dinner Reservation and Contribution Form

Submit your Contribution, Reservation & Journal Ad below.

To use PayPal, please click HERE.

To use submit a Reservation and Contribution Commitment using other payment methods, please click HERE.

Questions? Email us at dinner@ygoc.org or leave a message at 732-969-2497 x 101.

"*" indicates required fields

Name*

First Last

Email*

Phone*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Contribution | Journal Ad | Dinner Reservations*

A $360 contribution or more includes 2 Dinner Reservations. A $250 contribution includes a single Dinner Reservation.

Other contribution Amount

In honor of...*

Harav Yaakov Mayer Shlit"a

Harav Azriel Brown Shlit"a

Mr. & Mrs. Barry Stein - Parents of the Year

Mr. Ari Klein - Dinner Chairman

Mr. Avi Weinberg - Alumnus Chairman

Harav Heshy Fireworker Shlit"a - Mashgiach

Harav Avraham Yeshaya Roth Shlit"a - Menahel

Other

Other - In honor of...

Reservation(s) for*

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Please write an ad on my behalf.

Please give us some context in the Note section, and let us know how you would like it to be signed.

Journal Ad Text

Upload Journal Ad Text or Business Card/Logo

Max. file size: 32 MB.

Note

Total

Credit Card*

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

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Alternative Donation Methods

Will send a check in the mail.

Will give a check in person.

Will give cash in person.

Will Zelle yeshiva@ygoc.org

Will send via The Donors Fund

Will send via OJC

Will send via Fidelity

Other

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Questions? Email dinner@ygoc.org.

Yeshiva Gedola & Mesivta of Carteret
42 Noe Street • Carteret, NJ 07008
P. 732-969-2497 • F. 732-453-0037
yeshiva@ygoc.org
Tax Exempt ID • 20-4592404

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