Congregation Beth El Annual Gala
Saturday, January 25, 2025
8:00 pm
Ticket Information
Beth El Gala 2025 Giving Levels
Diamond - $5,000
- Includes a table in the front row and 8 tickets
Platinum - $3,600
- Includes a table in the second row and 8 tickets
Gold - $1,800
- Includes 4 tickets
Silver - $1,000
- Includes 2 tickets
Bronze - $540
- Includes 2 tickets
Individual Tickets:
$180 each
I/we have already made a donation/pledge for $540 or more to the Annual Campaign for FY24 and would like to attend the Gala
- includes 2 tickets
I/we cannot attend but would like to make a contribution to support Beth El
Total number of Gala attendees (including yourself)
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
$
Registrant Information
First Name
Last Name
Email:
Address
City
State
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DE
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ME
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MO
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MT
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NY
OH
OK
OR
PA
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TN
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VA
VT
WA
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Zip Code
Total Amount:
$
Please select a payment method:
Credit Card
ACH/eCheck
Electronic Check (ACH) Payment
Bank Routing Number
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Bank Account Number
Confirm Bank Account Number
Bank Account Type
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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 Information
First Name on Card
Last Name on Card
Credit Card Number
Verification Code (CVV)
Expiration Month (MM)
MM
x
Expiration Year (YYYY)
YYYY
x
Use different billing address
Please select...
No
Yes
Billing Address
Billing City
Billing State
Billing Zip Code
You will receive $180 of goods and services per ticket in exchange for this payment. The remainder is tax-deductible as a charitable contribution to the extent of the law.
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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