36th Year "Double Chai" Celebration Form

Remembrance & Creativity
Thursday, September 12, 2024

6:30 pm Supporting Donor Reception

7:30 pm Concert

Temple Beth-El

70 Orchard Avenue, Providence, Rhode Island
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Email*
example@example.com
Sponsorship Levels:

$18,000 Diamond Level (includes 14 concert tickets and invitations to the reception & one page add in the program)

$10,000 Platinum Level (includes 1 concert tickets and invitations to the reception & 1/2 page add in the program)

$5,400 Gold Level (includes 10 concert tickets and invitations to the reception & 1/4 page add in the program)

$3,600 Silver Level (includes 8 concert tickets and invitations to the reception& 1/8 page add in the program)

For the four sponsorship levels listed above please contact

Wendy Joering, Executive Director, at 401-453-7860.
Levels

$1,800 Bronze Level (includes 6 concert tickets and invitations to the reception)$1,000 Supporter Level (includes 4 concert tickets and invitations to the reception)$360 Friend Level (includes 2 concert tickets and invitations to the reception)Other
Purchase concert tickets-each $36.00

1 ticket ($36)2 tickets($72)3 tickets ($108)4 tickets ($144)5 tickets ($180)
If buying tickets for other people, please list their names below:
Do you want to help cover the credit card fee?

Yes (please include 3.3% credit card processing fee)No
Total with out processing fee
3.3% processing fee.
Total
Total Amount Charged *

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