Journal Ads

I cannot attend the dinner but I would like to purchase the following Journal Ad for the 64th Annual Journal Dinner. For any questions, please contact Mark Twersky at mtwersky@gns.org.

I WOULD LIKE TO PLACE A SCROLL OF HONOR LISTING AND/OR MAKE A CONTRIBUTION
PLEASE NOTE: $600 OR MORE INCLUDES 2 DINNER RESERVATIONS & FRIEND LISTING • $300 INCLUDES 1 DINNER RESERVATION & DONOR LISTING
PLEASE INDICATE BELOW HOW YOUR NAME(S) SHOULD APPEAR IN THE SCROLL OF HONOR (Please use this format: ELLEN AND DALE POLAKOFF)
Please enter any special instructions or questions for the Journal Committee
Name*
First Last
Email*
Phone
Address*
Street Address Address Line 2 City State ZIP Code
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Comments
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