Online Tribute Dinner Registration Form
HONOURING
Teacher of the Year
Mrs. Erin Gailor
and
Parents of the Year
Dr.Elianna Saidenberg & Dr. Doron Shmorgun
Sunday, May 4, 2014
5:30 Cocktails - 6:30 Dinner
Fairmont Château Laurier, 1 Rideau Street
Please fill out the form below carefully.
When you press submit, this form will be sent to our administration office.
| Donor / Sponsor Information |
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Couvert: $300 per person (an official tax receipt will be issued as permitted by law)
A glatt kosher meal will be served. There is a vegetarian option available upon request.
I would like a vegetarian meal. Please reserve vegetarian meal(s).
Please list the names of guests with whom you wish to be seated:
(Every effort will be made to accommodate your seating preference)
| Corporate Project Sponsor |
Includes: 10 tickets, full page corporate ad, table signage, and a tax receipt as permitted by law
You may choose to allocate the funds to the project of your choice:
Westboro Jewish Montessori Preschool
- purchasing new equipment and supplies and providing scholarships to children from needy families
Friendship Circle
- matching teenage volunteers with families of children with special needs
Camp Gan Israel
- providing the summer of a lifetime to children
Judaic Library
- purchasing new books and equipment and maintaining the library
Black-and-white, camera-ready artwork is required before April 10, 2014.
A full tax receipt will be given and acknowledgement printed in the tribute book.
Important: All forms must be competed and submitted with payment.
Total Amount to be Charged:
Name on Card:
Date of Registration:
Additional Notes:
