B’NEI ISRAEL CONGREGATION and Jennifer Sossin School for Jewish Education

PARTICIPATION FORM FOR THE TRIBUTE BOOK

AD LAYOUT - Tribute Book  
PLEASE RETURN COPY PRINTED, TYPE or CAMERA READY.

CLOSING DATE FOR ADVERTISING COPY:  Thursday, November 30

MAIL TO:

Please submit copy on separate sheet exactly as you wish it to appear in the Tribute Book, together with the following information: Name: ________________________________________________________

Address: ______________________________________________________

Phone: ________________ Fax: ________________

E-mail: _________________________________________

I enclose my check for $________.

Please make checks payable to "Congregación B’nei Israel".