Aish Chaim Gala 2026
Wednesday, 11/11/25 | 6 PM at the Pump House | Honoring and hearing from Bar Kupersthtein.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
PAYMENT BY CHECK
Please Select
Dinner Ticket 200.00
Listing (name only - no ad) 72.00
1/4 page ad 360.00
1/2 page ad 613.00
Supporter 1,000.00
Chai 1,800.00
Ambassador 2,500.00
Double Chai 3,600
Jewish Unity 5,400
Aish 7,200
L'Chaim 12,000
Am Yisrael Chai! 18,000
If paying by check, please indicate which of the above memberships you would like to purchase. We will contact you regarding payment arrangements.
IF PAYING BY CHECK AND YOU PURCHASED AN AD, PLEASE TYPE BELOW WHAT YOU WOULD LIKE IT TO SAY. Be sure to hit the Submit button at the end of the form.
PAYMENT BY CREDIT/DEBIT CARD
(If paying by check, see above. Be sure to hit the Submit button at the end of the form so that we can include your ad.)
If you purchased an ad, please type below what you'd like it to say:
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Dinner Ticket
$200.00
$
200.00
Quantity
1
2
3
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5
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9
10
Listing (Name Only)
$72.00
$
72.00
Quantity
1
2
3
4
5
6
7
8
9
10
1/4 page ad (includes 1 ticket)
$360.00
$
360.00
1/2 page ad (includes 2 tickets)
$613.00
$
613.00
Quantity
1
2
3
4
5
6
7
8
9
10
Supporter (full page ad, includes 3 tickets)
$1,000.00
$
1,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Chai Partner (Full page ad, includes 4 tickets)
$1,800.00
$
1,800.00
Quantity
1
2
3
4
5
6
7
8
9
10
Ohev Yisrael - Lover of Israel (Full Page ad, includes 5 tickets)
$2,500.00
$
2,500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Pillar of Chai (Full Page ad, includes 6 tickets)
$3,600.00
$
3,600.00
Quantity
1
2
3
4
5
6
7
8
9
10
Jewish Unity (Full Page ad, includes 8 tickets)
$5,400.00
$
5,400.00
Quantity
1
2
3
4
5
6
7
8
9
10
Aish (Double page ad, includes 10 tickets)
$7,200.00
$
7,200.00
Quantity
1
2
3
4
5
6
7
8
9
10
L'Chaim (Double Page ad, includes 12 tickets)
$12,000.00
$
12,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Am Yisrael Chai (Double Page ad, includes 15 tickets)
$18,000.00
$
18,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
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Expiration Year
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