Couvert: $200 per person • Young Professional: $118 per person Ad Journal Deadline: October 17, 2013 Reservations & Seating I/we would like to reserve couvert seats at the Dinner at $200 per seat Names of persons attending I/we would like to reserve young professional seats at the Dinner at $118 per seat Please reserve seats at the Dinner complimentary with my journal ad With my ticket (s), I also graciously pledge to sponsor one of the programs below, or pledge a gift in the amount of $ I/we are unable to attend but wish to celebrate this milestone with a donation of $ Dinner Program Ad Book We invite you to place an ad in our 2013 Program Ad Book as a way to support the activities of Chabad at University of Illinois. You may consider either a business advertisement; or messages honouring the Awardees, Committee Members; or in memory of a loved one. Advertising contributions are tax deductable to the maximum permitted by law. I/WE WISH TO HAVE MY ADVERTISEMENT OR MESSAGE APPEAR ON THE FOLLOWING TYPE OF PAGE: A Month of Student Programing | $45,000 50 Tickets & Platinum Ad A Half Day of Student Programing | $750 2 Tickets & Blue Ad A Week of Student Programing | $10,500 30 Tickets & Gold Ad Full Page | $275 A Shabbat of Student Programing | $2,500 10 Tickets (a Table) & Silver Ad Half Page | $150 A Day of Student Programing | $1,500 5 Tickets & Bronze Ad My/Our ad is in honor of: David & Karen Hyman, Honorees Joel Holland, Honoree Chabad Student Leadership, In Recognition Rabbi Dovid & Goldie Tiechtel, Directors Chabad at University of Illinois In memory of In honor of Other **To send artwork, email [email protected] Please print your message below: Payment I would like to pay for my sponsorship/ad in 12 monthly installments Credit Card Check *Checks should be made payable to Chabad at University of Illinois and mailed to 509 S Fourth Street, Champaign, IL 61820 Card Information Total Amount Total to be charged TODAY Credit Card Type Please Select Visa Mastercard Card Number Exp. Date Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 Cvv Code Contact Information First Name Last Name Address City / State / Zip Phone Email The Illini Chabad is a non-profit corporation & federally approved 501(c)3. All donations tax-deductible. This page uses 128 bit SSL encryption to keep your data secure.