31st Anniversary Dinner Tribute
and Scholarship Event

MARCH 17, 2010

Scroll of Honor Listing - Please check category:
Merkaz Yeshivot Bnei Akiva Patron ................................................ $
100,000
YBAYeshivot Hesder Patron ........................................................... $
50,000
Rav Moshe Zvi Neriya Memorial Scholarship ................................. $
36,000
YBA Ulpana High School Patron ..................................................... $
18,000
YBA Computer Lab Sponsor ............................................................ $
10,000
Gold Page ........................................................................................ $
7,200
Silver Page ...................................................................................... $
5,400
Bronze Page .................................................................................... $
3,600
Netzach Chai Patron ....................................................................... $
2,500
Netzach Chai Scholarship ............................................................... $
1,800
Builder page .................................................................................... $
1,000
White page ...................................................................................... $
750
Dor L’Dor ......................................................................................... $
400
Chaver ............................................................................................. $
200
Greetings ......................................................................................... $
100

To ensure placement in the Scroll of Honor, your response
must be received by March 5, 2010.

Please indicate in whose honor
this generous contribution is being made.
Rabbi Zevulun Charlop
Rabbi Jonathan and Miriam Gross
In Honor of

Message (please limit your message to five lines)



FIRST NAME*  
LAST NAME*
ADDRESS*   
CITY*
STATE*      COUNTRY*       ZIP*
PHONE*  FAX   
E-MAIL*
Dinner Reservation
$750 donation entitles you to two complimentary reservations
$400 donation entitles you to one complimentary reservation
Please confirm reservations.
I /We are unable to attend but would like to contribute: $
I wish to be seated with the following individual(s):
Name Firm
Name Firm
Name Firm

Please choose the method of your payment:

AFYBA is an IRS-recognized 501c3 Not-For-Profit Organization

Check will be sent by mail.

Please charge my credit card (you will be directed to our secure system).

Please have someone contact me for payment options.

Or Email office@afyba.org

          

For any questions, contact our office at Tel. 212-248-0471 Fax. 212-248-0473

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