RJC 67th Annual Dinner

* First Name

* Last Name

* Email Address

* Please choose from the following options:

Please Select OneI would like make a dinner reservation (in-person or virtually) and/or place an optional scroll of honor message.I cannot attend but would like to place a scroll of honor message.I am an AMUD member and would like to place a scroll of honor message and/or make a dinner reservation (in-person or virtually).

The RJC will prepare a digital scroll of honor that will be on display on the evening of the dinner, as well as on our website following the dinner. Please review the sponsorship options below. Note that, as indicated, many of the selections include complimentary tickets.

Please type your scroll of honor message, exactly as you would like it to appear, here:

Please note that this is not an ad, but rather a message of tribute to the honorees. All messages will appear on the page corresponding to the donation level.

* Please indicate how you would like to celebrate with us:

Please Select OneI would like to attend in-person.I would like to attend virtually.

* Your tribute includes 10 complimentary reservations. Please indicate the number of reservations you would like to make:

* Your tribute includes 4 complimentary reservations. Please indicate the number of reservations you would like to make:

* Your tribute includes 2 complimentary reservations. Please indicate the number of reservations you would like to make:

* Your tribute includes 1 complimentary reservations. Please indicate the number of reservations you would like to make:

* Your AMUD membership includes 2 complimentary reservations. Please indicate the number of reservations you would like to make:

* Please indicate how you would like to celebrate with us:

Please Select OneI would like to attend in-person.I would like to attend virtually.

We look forward to you joining us on June 6. Zoom information will be sent to you before the dinner.

* Would you like to receive a boxed dinner?

Please Select OneYes, I would like to receive a boxed dinner.No, I only want to attend the program virtually.

What is your address?

* Would you like to purchase additional dinner reservations?

Please Select OneYes- General Admission ($250 per seat)Yes- Young Professionals Admission ($125 per seat)Not at this time

* Please indicate how you would like to celebrate with us:

Please Select OneI would like to attend in-person.I would like to attend virtually.

How many general admission reservations would you like to purchase?

How many young professionals admission reservations would you like to purchase?

* Are you vaccinated against COVID-19?

Please Select OneI am fully vaccinated and will present my vaccination card.I will be fully vaccinated by June 6 and will present my vaccination card.I will not be fully vaccinated by June 6 and I agree to wear a mask at all times when not eating.Please note that in order to be considered fully vaccinated, you must receive your 2nd dose of Pfizer/Moderna or single dose of J&J by Sunday, May 23. Vaccinated guests must provide a copy of their vaccination card. Non-vaccinated guests must present proof of a negative PCR test from within three days of the dinner or a negative rapid test from within six hours of the dinner, and must wear a mask at all times when not eating.

Please consider making an additional donation towards the dinner campaign by entering an amount below:

Total

Sunday, June 6, 2021 • 26 Sivan 5781

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