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YILC Annual Dinner 5785 / 2025

Please verify reCaptcha before submitting the form.

Form Submitted By: First Name

Last Name:

* Contact E-mail Address

* Phone Number

* Address

* City

* State

--Select State--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

* Zip Code

Number of people attending

012345678910   Attendee

Full Name(s)

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Scroll of Honor Category

Select one from Below$ 18,000 - Imperial Donor$ 10,000 - Diamond Donor$ 7,500 - Opal Donor$ 5,000 - Emerald Donor$ 3,600 - Sapphire Donor$ 2,500 - Ruby Donor$ 1,800 - Platinum Donor$ 1,000 - Gold Donor$ 750 - Silver Donor$ 600 - Patron Donor **$ 300 - Friend Supporter*$ 180 - Chai Supporter$ 100 - Benefactor Supporter$ 54 - Greeting

SCROLL OF HONOR Print Deadline:  Friday, February 14th
Any donations received after deadline are still very much appreciated and needed.  
Tizku L'Mitzvot

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.

Additional Comments and Greetings for our honorees

Thu, September 18 2025 25 Elul 5785

               8 Spruce Street, Cedarhurst, NY 11516

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

 

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