Annual NYC Event 2024

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Cell Phone*

I am attending*

Yes
No

Number of Attendees*

Name of Attendee 1*

First Last

Name of Attendee 2*

First Last

Name of Attendee 3*

First Last

Please list any additional attendees here.

My gift will be made by:

Sponsorship Levels

*Donations of $1,000 and above received by November 13th will be listed in the program. All donations received on or after November 14 will be part of the addendum. **Donations of $5,000 or more welcome you to Sharsheret's Jewel Circle.

My Gift

This gift will be matched by my employer's matching gift program.
I am interested in learning more about Sharsheret’s Legacy Giving program.
My gift is in memory of Sharsheret's Founder Rochelle Shoretz A"H
My gift is in honor of Kim Kushner
My gift is in honor of Dr. Melissa Frey