GREAT NECK SYNAGOGOUE

59TH Annual Journal Dinner

Kol Haneorim Tallis

RESPONSE CARD

NAME____________________________________________________________

ADDRESS_________________________________________________________

PHONE #_____________________

EMAIL_______________________
Tallis Only Dinner + ½ Page Dinner + Full Page

One Name $ 100 $ 600 $ 1,050

Small Stone – 3 Names 250 750 1,150

Large Family Stone + 5 Names 400 800 1,250

Small Family Building + 5 Names 1,000 1,400 1,750

Large Family Building + 8 Names 1,800 2,200 2,600

Birchat Kohanim – 1st Passuk** 3,600* 3,900

Birchat Kohanim – 2nd Passuk** 3,600* 3,900

Birchat Kohanim – 3rd Passuk** 3,600* 3,900

All 4 Tsitsis** 5,000

Hamalach Hago’el Passuk** 7,500

City of Jerusalem** 25,000

*Includes 2 tickets to the dinner & ½ page Journal Ad.

**Includes family name + 8 names

 GNS Kol Haneorim Tallis – Response Form
YES! Our family wants to be part of the New Kol Hanearim tillis project at GNS.

Please fill in the appropriate area for your family below.

One Name (choose one option) Family Name _____________________________________

First & Last Name ________________________________

Small Stone – 3 Names 1. First & Last Name ______________________________

2. First & Last Name ______________________________

3. First & Last Name ______________________________

Large Family Stone + 5 Names Family Name _____________________________________

1. First Name ____________________________________

2. First Name ____________________________________

3. First Name ____________________________________

4. First Name ____________________________________

5. First Name ____________________________________

Small Family Building + 5 Names Family Name _______6 TAKEN_____________________

1. First Name ____________________________________

2. First Name ____________________________________

3. First Name ____________________________________

4. First Name ____________________________________

5. First Name ____________________________________

Large Family Building & 8 Names Family Name ________1 TAKEN____________________

Birchat Kohanim – 1st Passuk 1. First Name ____________________________________

Birchat Kohanim – 2nd Passuk 2. First Name ____________________________________

Birchat Kohanim – 3rd Passuk 3. First Name ____________________________________

All 4 Tsitsis 4. First Name _____ TAKEN_______________________

Hamalach Hago’el Passuk 5. First Name ______TAKEN______________________

City of Jerusalem 6. First Name ____________________________________

7. First Name ____________________________________

8. First Name ____________________________________

All Requests must be submitted on this form.