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Peace of Mind Fri. Night Dinner

Please verify reCaptcha before submitting the form.

Form Submitted By: First Name

Last Name:

* Contact E-mail Address

* Phone Number

* Address

* City

* Zip Code

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Dinner Reservations and Sponsorship Opportunities

012345678910   Adult Dinner Reservation(s) pp - $100.00

0123456   Breakfast Sponsor (6) - $1,000.00 - 6 Open

0123   Lunch Sponsor (4) - $1,800.00 - 3 of 4 Left

01234   Day of Therapy Sponsor (4) - $3,600.00 - 4 Open

01   NBA Sponsorship (1) - $7,500.00 - Open*  DONATIONS OVER $1000 INCLUDE
2 x Dinner Reservations

** Dinner is for ages 12+

Dinner Attendees:

Seating Requests

Total

PLEASE MAKE SURE YOU RECEIVE A CONFIRMATION EMAIL FOLLOWING YOUR SUBMISSION. 

IF YOU DO NOT RECEIVE A CONFIRMATION E-MAIL FOLLOWING ALL THE STEPS, PLEASE LET THE OFFICE KNOW.

Mon, October 13 2025 21 Tishrei 5786

               8 Spruce Street, Cedarhurst, NY 11516

                   P: 516-569-3324 | E: Office@YILC.org

 

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