2024 Dinner Registration Form

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The KMS 34th Annual Gala Banquet
Tuesday, June 4, 2024
Mincha 6:15 pm | Reception 6:30 pm | Dinner 7:15 pm
At Kemp Mill Synagogue
11910 Kemp Mill Road | Silver Spring, MD 20902

Guests of Honor:
Barbara & Mel Ciment
Sara & Jeff Elikan
Youth Honorees:
Emma Loshin ♦ Toby Melamed ♦ Nase Minzer
Zara Rosenbaum ♦ Rafi Sloan ♦ Amalya Zatman

KMS members: please be sure to log in to your KMS account.

* Your Name

* Your Email Address

Seat Reservations:
♦ Adults: $250/person
♦ Students: $75/person
Please see additional options below for Journal Ad pricing and then reserve your seats

Journal Ad Deadline: Friday, May 17, 2024

Journal Ad Wording

Enter your journal ad text here OR submit as an attachment below:

Attach Your Ad File Below

*Click here to view the Ad dimensions*

Dinner Seats

Your ad selection entitles you to up to 2 free seats.

How many of those seats will you be using?

If you need to purchase more seats, please make your selections below:

Number of Adult Seats ($250 each)

Number of Student Seats ($75 each)

Please enter the information for each Dinner guest below:

	* Name	Seating Requests	Vegetarian?	Gluten Free?

Other Donation Amount

If you'd like to donate a different amount, please enter it here:

Total Amount Due

Mon, April 29 2024 21 Nisan 5784

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Kemp Mill Synagogue | 11910 Kemp Mill Road, Silver Spring, MD 20902 | 301-593-0996
Rabbi Brahm Weinberg | Gary Winters, President | Aryeh Shudofsky, Executive Director

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