Oldest Jewish Americans Celebration

Yes, I would like to attend.

Honoree:   First Name   Last Name
Honoree's favorite classic television show:    Type here
Your Email:   Email

Number of additional guests ($40.00 per person):

Honoree's Guest

First NameLast Name

Additional Guest

First NameLast Name

Additional Guest 2

First NameLast Name

Additional Guest 3

First NameLast Name

Additional Guest 4

First NameLast Name

I/we would like to sit with Name(s) .

I/we would like to sit with:

I would like to make a tax deductible gift of:

Please select your donation amount:

Please enter the amount you would like to donate

In Honor of: First Name Last Name
In Memory of: First Name Last Name

Optional: Help JSL by adding 3.5% to cover processing fees

Additional guests total

Donation

Additional Guest + Donation Amount

Checkout total:

CHECKOUT TOTAL

USD

Credit Card Details
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Credit Card Number	Security Code
Card Expiration

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COMPLIMENTARY SHUTTLE SERVICE

(JSL Residents only - Bus reservations & wheelchair space is limited)

Yes, I/we will need round-trip shuttle transportation

Name of Rider(s)   First Name   Last Name
First Name   Last Name
First Name   Last Name

Please pick me/us up from

10 AM - West Bloomfield - EUGENE & MARCIA APPLEBAUM JEWISH COMMUNITY CAMPUS

Lillian & Samuel Hechtman Apartments 6700 West Maple RoadNorma Jean & Edward Meer Apartments 6760 West Maple RoadEdward I. & Freda Fleischman Residence - Louis C. & Edith B. Blumberg Plaza 6710 West Maple Road

10 AM - Oak Park - A. Alfred Taubman Jewish Community Center Campus

Anna & Meyer Prentis Apartments 15100 West Ten Mile Road

Please let us know if you have any additional requests/requirements: