The Story of a Beautiful Community Gala Celebration Honoring our Monthly Donors in recognition of their partnership in building our community Tuesday, June 9, 2026 Cocktails 6:30 PM | Dinner 8:00 PM Chabad Center for Jewish Life of Hewlett 44 Everit Ave, Hewlett, NY $770 per couple | Complimentary for our monthly partners* Event Sponsor: Mikhail Ilyaich & Associates 1-800-318-8888 I CrashInjury.com *Minimum for this event is $770; for monthly or annual supporters, this evening is our gift to you. Full Name* First Name Last Name E-mail* Cell Number* Attending?* I would be honored to attendI cannot attend but would like to make a donationI am sorry but I cannot attend How many people attending? Names of those attending: Payment/Donations Minimum for this event is $770, however, if you are a monthly supporter or committed to an annual donation, this event is a gift to you. Are you a partner?* Yes, I am a partner, thank you for having me as a guestYes, I am a partner and would like to make a donation for this eventNo, but I would like to make a donation for this eventNo, but I would like to become a partner and come as a guestNo, I am not a partner and will pay $770 for the event Make a donation for this event! I would like to donate: $770 per coupleBronze Level $1,250Silver Level $1,800Gold Level $2,600Platinum Level $3,600Ruby Level $5,400Diamond Level $10,000Event Sponsor: $25,000Other Amount Other Amount $ Partnership/Monthly Donor Become a monthly donor! YES, I would like to become a monthly supporter with a donation of: Make sure the box below is checked for recurring $ Yes, I'd like to make this a monthly recurring payment. Total $0.00 Payment Credit Card Paypal eCheck ACH, Check, Cash or Zelle Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearPaypal has been selected. Payment will take place on the next page. Bank Name Routing Number Account NumberCheckingSavingsBusiness Account TypeFor ACH payments please include your bank's routing and checking numbers in the notes section.Zelle payments to: [email protected]Billing Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Notes/Banking Info: Submit I would like to receive news and updates by email Should be Empty: This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.