Scholarship Tribute Dinner Reservation Please use the form below to reserve online. "*" indicates required fields Name* First Last Email* PhoneResponse Yes! I/We look forward to attending the dinner We will be unable to attend, but we would like to include our ad/greeting in the Tribute Journal Dinner Couvert Single - $100 Couple - $180 Tribute Yearbook Journal1/2 page and higher in Tribute Jornal includes 2 complimentary dinner couverts. 1/4 page includes 1 complimentary dinner couvert Diamond Page - $1800 Scholarship Page - $1080 Full Page - 8” High x 5” Wide - $540 1/2 Page - 4” High x 5” Wide - $252 1/4 Page - 4” High x 2.5” Wide - $136 1/8 Page - 2” High x 2.5” Wide - $72 2 Line Greeting - $36 Other Donation Amount Submit Text for JournalSubmit Image for Journal Drop files here or Select files Max. file size: 512 MB. Total If you have any difficulty using this form, please contact Raizy Rubin at 518.772.7299 for assistance.
