Please complete the form below to support Congregation Beth Abraham-Jacob.Your Name* First Last Your Email* Your PhoneYour Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Honorary CommitteeChoose OnePer personPer coupleThis entitles you to: - Listing on Honorary Committee. - Delivery of one elegant plant arrangement to you, or the Daughters of Sarah Community.How do you want your name to appear on the Honorary Committee listing?ReservationsChoose OnePer personPer coupleThis entitles you to: - Delivery of one elegant plant arrangement to you, or the Daughters of Sarah Community.SponsorshipChoose OneGuarantor: $5,000Sustainer: $3,600Partner: $2,500Investor: $1,800Benefactor: $1,000A range of sponsorships are available. This entitles you to: - Listing as a sponsor. - Delivery of elegant plant arrangement to you, or the Daughters of Sarah Community.How do you want your name to appear on the Sponsors listing?Plant Arrangement Options*Please choose you would like it to be delivered to a resident at Daughters of Sarah Community.Please deliver my plant arrangement to mePlease deliver my plant arrangement to Daughters of SarahIn lieu of plant arrangement, please donate the value to CBAJE-journal AdsChoose OneFull page (5.5" wide x 8.5” tall): $600Half page (5.5" wide x 4.25 tall): $350Quarter page (2.75" wide by 4.25" tall): $180E-journal ads are available in a variety of sizes for businesses and personal ads - Full page (5.5″ wide x 8.5” tall) - Half page (5.5″ wide x 4.25 tall) - Quarter page (2.75″ wide by 4.25″ tall)Upload Journal AdFileDescriptionPlease make sure that all artwork submitted conforms to the size specifications shown. Please submit artwork in high-resolution PDF. Text based ad content may be submitted via email, and will be formatted and fit into the ad space exactly as received.Total $0.00 Method of Payment*Pay online with Credit CardSend check into CBAJ OfficeCredit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Please send a check to the address below in the amount of the total above after pressing the Place Order button below. Please contact the office at email@example.com or (518) 489-5819 for assistance or if you have any questions. Attn: UNdinner Committee Congregation Beth Abraham-Jacob 380 Whitehall Road Albany, NY 12208 This iframe contains the logic required to handle Ajax powered Gravity Forms.