Annual Gala Event Journal Ads & RSVP Event Honorees Journal Please complete the form below to participate in the 2025 Journal, and/or RSVP for the Gala dinner. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Contact Information Name *FirstLastEmail *Phone *Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeI would like to *Place a Journal AdMake an Event ReservationBothPlease note: Journal Ad submissions received after 11/15/24 will be included in the printed Addendum, along with the online/digital Journal.Journal AdsGold page and larger entitles you to two complimentary reservations.Please select your Journal Ad level *Guardian - $10,000.00Jubilee - $7,500.00Regency - $5,000.00Patron - $3,600.00Platinum - $2,500.00Diamond - $1,800.00Gold - $1,000.00Silver - $800.00Full Page - $600.00Half Page - $360.00Quarter Page - $180.00Greeting - $100.00 Journal Names Number My Ad Journal content will be *Included (below) with my form submission.Sent via email to rofeh@rofehint.org.Given over the phone - please call me at the number listed above.Journal Ad TextTo view last year's journal, click here. Complimentary Gala Event Reservations Included with Gold level ad and higher. Number of Complimentary GuestsPrice: $0.00012Guest NamesPlease include the names of all attendeesRSVPNumber of Gala Event Reservations *Price: $180.0012345678910 Guest Names Please include the names of all attendeesFirst Name *Last Name Payment InformationTotal$0.00I would like to pay *by credit card or PayPalvia a Donor Advised Fundother (please specify below)Credit Card or Paypal Information *PayPal CheckoutCredit CardCard NumberExpiration DateSecurity CodeCard Holder NameComments / Additional InformationSubmit
