RSVP Below at the Molly Blank Jewish Community Center 930 W. University Avenue Flagstaff, AZ 86001 Full Name* First Name Last Name E-mail* Phone Number* Area Code Phone Number Grand Opening Event • 5:00pm - 7:00pm Adults* Children VIP Appreciation Dinner* • 7:30pm * 2 complimentary tickets for those who have gifted or are now pledging $1,800 or more to the Molly Blank Jewish Community Center Building Campaign. Number of VIP Adults Menu Preference (VIP Dinner Only) Meat Chicken Vegetarian Mezuzah Sponsor Limited 40 dedications available. 2 complimentary tickets to the VIP Appreciation Dinner. Mezuzah Sponsor $1,800 Event Sponsorship Your sponsorship will help make this historic event a resounding success. Sponsor Silver: $180 Gold: $500 Platinum: $1,200 Total $0.00 Payment Credit Card Check Credit Card Visa MasterCard American Express Discover Credit Card Type Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Expiration Year Please mail your check to Chabad of Flagstaff at: 1254 W. University Ave. Suite 130 Flagstaff, AZ 86001 Submit Clear Form All contributions are tax deductible. Tax ID# 501(c)3 20-4963466 Should be Empty: This page uses TLS encryption to keep your data secure.