Purchasing Tickets for the 2019 Tribute Event

Click here to

Purchase an ad with your tickets

Title*

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Organization / Synagogue affiliation*

Other Congregation/Synagogue affiliation:

Please select which honoree you are attending for*

Check off the relevant boxes below

Gillian Caplin
Rabbi Michael Siegel
Cantor Mike Stein
Rabbi Gershom Sizomu
All Honorees
Other

Please specify the honoree you are attending for*

Email*

How many tickets would you like?

Enter number of tickets

Tickets*
Price: $250.00 Quantity:

Please enter the name(s) and email(s) of each dinner attendee below

First Name	Last Name	Email

To add another dinner attendee click the ⊕ sign on the right.

Please select your method of payment*

Pay online by credit card
Pay by check
Pay by bank transfer
Pay by PayPal

Credit Card Transaction Fee*

Masorti Olami incurs a 3% transaction fee in connection with all donations made by credit card. Please consider adding an additional 3% to your donation amount so that we actually receive the entire amount that you meant to donate. (Please choose one of the two options below:)

I would like to add an additional 3% to my contribution so that Masorti Olami actually receives 100% of my donation.
I do not want to add 3% to my contribution, and therefore understand that the amount received by Masorti Olami will actually be reduced by 3% to cover credit card processing costs.

3% transaction fee

Price: $0.00

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Please make your check payable to: World Council of Synagogues
and mail it to:
World Council of Synagogues
3080 Broadway
NY, NY 10027
(Please indicate that this is a payment for Tickets to our Annual Tribute Event)

To pay by bank transfer, please see our bank details below*:
JPMorgan Chase Bank at 1166 Ave of the Americas, 16th floor, New York, NY 10036
Account #:134750209
ABA: 021 000021
BIC or Swift Code: CHASUS33

*Please send a confirmation email tomail@masortiolami.org once you have made the transfer

Additional notes/comments:

How did you hear about this event?

Would you like to purchase a journal ad?*

Yes
No

After you click the Submit button below, follow the link on the next page to purchase your Journal Ad . You do not need to re-enter your ticket information.

Please check the box below:

Name

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