Talmud Torah of Minneapolis

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	*^First Name:**			*^Last Name:**
	Company:
	*^Address:**			Suite/Apt:
	*^City:**			State:
	*^Zip Code:**
	*^Phone:**			*^Email:**

Purchase Benefit Tickets:

Please select from the following menu. You can have multiple selections.

Pillar (8 VIP tickets)............$3,600 X ($3,040 tax-deductible)

Includes a private reception with Nate Berkus, with a photo opportunity. Preferred seating, plus cocktail reception, dinner, dessert reception and program.

Benefactor (4 VIP tickets).....$1,800 X ($1,520 tax-deductible)

Includes a private reception with Nate Berkus, with a photo opportunity. Preferred seating, plus cocktail reception, dinner, dessert reception and program.

VIP.............................................$500 X ($430 tax-deductible)

Includes a private reception with Nate Berkus, with a photo opportunity. Preferred seating, plus cocktail reception, dinner, dessert reception and program.

Patron.........................................$180 X ($110 tax-deductible)

Includes a cocktail reception, dinner, dessert reception and program.

Friend...........................................$60 X ($30 tax-deductible)

Includes a dessert reception and program.

Under 30.......................................$30 X ($15 tax-deductible)

Includes a dessert reception and program.

Ticket total $

Information About Your Party:

Total Number of People Attending:

Please list names of ticket holders: (separated by a comma):

Please list those with whom you would like to be seated with for dinner:
(Tables of 8-10 will be formed)

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