subject_line
Donation
Levels
*
Benefactor ($50,000)
Guardian ($36,000)
Regency ($25,000)
Chai Sponsor ($18,000)
Patron ($10,000)
Diamond ($5,000)
Platinum ($3,600)
Gold ($2,500)
Silver ($1,800)
Bronze ($1,200) * Donations of $1,200 or more will receive a special gift.
Emerald ($1,000)
Pearl ($750) ** Donations of $750 or more include two reservations and a listing on the Scroll of Honor.
Sponsor ($500)
Supporter ($375)
Other Amount
Other Donation
Number of Guests Attending
*
My $750 dinner obligation has been paid with my tuition. (Please mark the PEARL donation level.)
*
Yes
No
Please increase my $750 donation by $450 and list my name at the BRONZE ($1200) level.
Yes
No
By entering coupon code
PARENT
, $750 will be deducted from your desired donation. (code is case sensitive)
I am a Shulamith faculty member
*
Yes
No
Mark the PEARL donation level and enter code
STAFF
for one complimentary reservation
(case sensitive)
🛈
NAME AS YOU WOULD LIKE IT TO APPEAR ON THE SCROLL
*
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
SHULAMITH SCHOOL FOR GIRLS
305 Cedarhurst Ave., Cedarhurst, NY 11516
516-564-1500 ext. 613