Beth El's Annual Gala
70th Anniversary Celebration
Saturday, January 7, 2023
7:00 pm
Ticket Information
Beth El Gala 2023 Giving Levels
Platinum Level:
$5,400+
Gold:
$3,600+
Silver:
$1,800+
Bronze:
$540+
Individual Tickets:
$180 each
I/we have already made a donation/pledge for $360 or more to the Annual Campaign for FY23 and would like to attend the Gala
I am a new member since January 2022 and would like to register for my two (2) free tickets for this year's gala.
I/we cannot attend but would like to make a contribution to support Beth El
Please indicate the amount that you have donated/pledged to the Annual Campaign since June 1, 2022.
$360+
$540+
$1,800+
$3,600+
$5,400+
Total number of Gala attendees
Number of individual tickets
Name(s) of attendees
Would you like to make an additional donation?
Yes
No, thank you
Enclosed is a donation in the amount of
$
Registration Information
First Name
Last Name
Email:
Address
City
State
Please select...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
Please answer these brief questions
Do multiple generations of your family belong or belonged to Beth El?
Yes
No
Are you a graduate of Beth El's Nursery/Preschool?
Yes
No
Are you a graduate of Beth El's Religious School?
Yes
No
Are you a past president of the congregation or Sisterhood or Men's Club?
Yes
No
Have you been a member of Beth El for more than 20 years?
Yes
No
Total Amount:
$
Please select a payment method:
Credit Card
ACH/eCheck
Electronic Check (ACH) Payment
Bank Routing Number
Bank Account Number
Bank Account Type
Please select...
Checking
Savings
Bank Name
Account Holder Name
There is a 3% transaction fee for paying by credit card.
There is no fee for paying by eCheck.
I understand and agree to the 3% transaction fee.
3% Fee Information
Fee
$
New Total
$
Credit Card Payment
Credit Card Number
Verification Code
Card Expiration (MM)
Card Expiration (YYYY)
Please click the Submit button only once to avoid being charged multiple times.
The form can take up to 1-2 minutes to process.
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