In support of Ateres Mordechai please join us on Sunday, May 4th, 6PM at Bais Yaakov Simcha Hall (15 Saranac Blvd, Toronto)

Sponsorship Options:

Crown: $10,000 (Table for 10 and a double page ad in the Crown section)	Diamond: $5,000 (Table for 10 and a full page ad in the Diamond section)
Ruby: $3,600 (Six tickets and a double page ad in th Ruby sections)	Emerald $1,800 (Six tickets and a full page ad in the Emerald section)
Sapphire: $1,000 (Four tickets and a full page ad in the Sapphire section)	Topaz: $500 (2 tickets and a full page ad in the Topaz section)
Opal: $360 (2 tickets and a full page ad)	Amethyst: $250 (Single ticket and a full page ad)
Onyx: $180 X tickets (Single ticket OR a full page ad)	Jade: $100 (Half Page ad)

Ad Deadline Closed

Registration

Name:
Company:
Address: City: Postal Code: Telephone: E-mail:

Payment:
Pay with PayPal Cheque (please make payable to Ateres Mordechai)
VISA MASTERCARD Card # Exp. Date:
Name on Credit Card:

Please Select One of the Following:

We will attend the dinner (Separate Seating)
Guest Names:
Journal ad only (Cannot attend)

charitable Donation No: 814339024RR0001
** Tax receipt will be issued to the maximum allowed by law.

Alternately please print and fax to 905-248-3583 or contact (905) 597-3157.