LBI Annual Dinner 2023 – Registration Form
First Name
Last Name
Title
Organization
Position
Email Address
Are you an Attendee, a Guest of Another Attendee, or Guest of the Leo Baeck Institute?
Please select...
Attendee
Guest of Another Attendee
Guest of the Leo Baeck Institute
Please provide the name of the attendee who invited you.
How did you receive your invitation?
Please select...
I was mailed a complimentary ticket.
I was invited as a guest of a staff member.
Please provide the name of the staff member.
Address Lines
City
State
ZIP Code
Have you already purchased your tickets?
Please select...
Yes.
No, I'm planning to donate online.
No, I'm planning to send a check.
What ticket(s)/level have you purchased?
Please select...
President's Table ($50,000)
Leadership Circle ($36,000)
Benefactor Circle ($18,000)
Patron Circle ($12,000)
Corporate/Business Circle ($6,000)
Dinner Fellow ($3,000)
Dinner Guest ($900)
What ticket(s)/level do you plan on purchasing?
Please select...
President's Circle ($50,000)
Leadership Circle ($36,000)
Benefactor Circle ($18,000)
Patron Circle ($12,000)
Corporate/Business Circle ($6,000)
Dinner Fellow ($3,000)
Dinner Guest ($900)
Do you have any dietary restrictions?
Please select...
None
Vegetarian
Vegan
Food Allergies (please contact lbidinner@lbi.cjh.org with more information)
If you have any questions, please email
lbidinner@lbi.cjh.org
.
Contact Information