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About The Shul Jewish Art Calendar

Calendar Dedication Form

Your Information
Full Name*

Prefix First Name Last Name
E-mail*
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Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*

Area Code Phone Number
Please make my selections same as last year.

YesNo
Please select which dedication opportunities you'd like:*

Calendar Dedication DatesHoliday/Event and Program Sponsorships - includes 5 Dedication DatesBusiness Ads
Calendar Dedication Dates
Please include my family's birthdays/yahrzeits/anniversaries on the following level:
Please select level:*

$36 Calendar Dedication - 1 Dedication Date$54 Calendar Dedication - 2 Dedication Dates$100 Family and Friends Package - 5 Dedication Dates
Additional opportunity:
Sign up yourself or your loved ones for the Jewish Birthday Club! Find out when your Jewish birthday falls this year and receive a special gift free of charge. Click here for more details.
Holiday/Event and Program Sponsorships
Please select sponsorship/s:*

$360 Sponsor a Camper for a Week of Summer Camp - includes 5 Dedication Dates$540 Sponsor a special event for The Gan Preschool or JEMS Hebrew School - includes 5 Dedication Dates$1,000 Sponsor a season of programming - includes 5 Dedication Dates$2,500 Holiday/Event Sponsor - includes 5 Dedication Dates
Special Event Sponsor $540
Sponsor a season of programming $1000
Holiday/Event Sponsor $2500
Kiddush Sponsor $360

I would like to reserve a Kiddush sponsorship on the calendar ($360 to be billed week of)
Kiddush Sponsorship Date

Month Day Year
Dedication Dates Information
* Please type names exactly as you'd like them to appear.
* Please fill in as much as information as you can.
No. of Dedication Dates
Please convert my secular occasion to the corresponding Jewish Date on the Calendar

YesNo
* Years are not required but will assist us in determining your Hebrew birthday.
* Year and therefore your age will NOT be printed in the calendar.
(1) Date Type

BirthdayYahrzeitAnniversary
(1) Name

First Name Last Name
(1) Relationship
(1) Date

Month Day Year
(1) Notes
(2) Date Type

BirthdayYahrzeitAnniversary
(2) Name

First Name Last Name
(2) Relationship
(2) Date

Month Day Year
(2) Notes
(3) Date Type

BirthdayYahrzeitAnniversary
(3) Name

First Name Last Name
(3) Relationship
(3) Date

Month Day Year
(3) Notes
(4) Date Type

BirthdayYahrzeitAnniversary
(4) Name

First Name Last Name
(4) Relationship
(4) Date

Month Day Year
(4) Notes
(5) Date Type

BirthdayYahrzeitAnniversary
(5) Name

First Name Last Name
(5) Relationship
(5) Date

Month Day Year
(5) Notes
(6) Date Type

BirthdayYahrzeitAnniversary
(6) Name

First Name Last Name
(6) Relationship
(6) Date

Month Day Year
(6) Notes
(7) Date Type

BirthdayYahrzeitAnniversary
(7) Name

First Name Last Name
(7) Relationship
(7) Date

Month Day Year
(7) Notes
(8) Date Type

BirthdayYahrzeitAnniversary
(8) Name

First Name Last Name
(8) Relationship
(8) Date

Month Day Year
(8) Notes
(9) Date Type

BirthdayYahrzeitAnniversary
(9) Name

First Name Last Name
(9) Relationship
(9) Date

Month Day Year
(9) Notes
(10) Date Type

BirthdayYahrzeitAnniversary
(10) Name

First Name Last Name
(10) Relationship
(10) Date

Month Day Year
(10) Notes
Business Ads
Open Rates for single run ads

$3,800 - Back Cover$2,800 - Full Page$1,500 - Half Page$750 - Quarter Page$375 - Double BC$225 - Business Card
Notes:
Payment Information
Total

$0.00

Payment

Credit Card Zelle

Postal / Zip Code

Country

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