PAYQUIQ ONLINE :: The Faster Smarter Way to Pay

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Benefit 2020

* Name

* Address

* City, State, Zip

* Phone

* Email

Participation Opportunities

Prominent logo placement on website and event signage.
Special recognition on social media, press release and ads for the event.
Ad in the virtual journal.

	OPUS - 6 tickets \| Full page Ad	$5,400.00
	SYMPHONY - 6 tickets \| 1/2 page Ad	$3,600.00
	CONCERTO - 4 tickets \| 1/2 page Ad	$1,800.00
	QUARTET - 2 tickets \| 1/2 page Ad	$900.00
	DUET - 2 tickets \| 1/4 page Ad	$500.00

Ad Journal

The Virtual Ad Journal will be availabe to view on the Temple website

	Full page	$360.00
	Half page	$180.00
	Quarter page	$90.00
	Business card	$72.00
	One-Line Shout-out	$54.00

Enter text for ad in space provided.

Image Upload

Please upload image for your ad. You may also email it to [email protected].

Benefit Tickets

Ticket per person

Please accept this additional contribution of $

I/We are unable to attend, but would like to make the following donation $

* For security purposes, please list names of all people attending

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Checking Account

Name on the Account

Bank Name

Routing Number

Is usually located between the symbols on your check.

Account Number

Typically comes before the symbols. Its exact location and number of digits varies from bank to bank.

Confirm Account Number

Comments

Total:

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Please contact Congregation Beth Chaim at (609) 799-9401 if you have any questions or comments about the PAYQUIQ service or about payments.

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