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Keshet's OUTstanding! 2023 Host Committee Membership and Sponsorship Form
Thank you for joining us for
OUTstanding! 2023
to support Keshet and advance LGBTQ equality in Jewish life. Please complete this form to join the
Host Committee
or
Sponsor
OUTstanding!
Host committee members
are listed as Host Committee members in event materials, sponsor the event, and are invited to spread the word!
Sponsors
are recognized in event materials.
If you have any questions, please reach out to Elana Steinlauf Ohl, Annual Giving and Events Manager, at
[email protected]
Please select one:
Sign me up
as
Host Committee Member and Sponsor
Sign me up only as a
Sponsor
Sponsorship Options
Luminaries
$25,000
check the box to learn more
Lead recognition as Luminaries-level on event materials
Up to ten Boston gala tickets with reserved priority seating / online tickets
One full slide in digital program book, lead positioning
Dedicated tickets for Keshet youth or community members include
d
Stars of Keshet
$10,000
check the box to learn more
Lead recognition as Stars of Keshet-level on
event materials
Up to eight Boston gala tickets with reserved priority seating / online tickets
One full slide in digital program book, lead positioning
Dedicated tickets for Keshet youth or community members included
Advocates
$5,000
check the box to learn more
Recognition as Advocates-level on
event materials
Up to six Boston gala tickets with reserved seating / online tickets
One full slide ad in digital program book
Dedicated tickets for Keshet youth or community members
Sustainers
$3,600
check the box to learn more
Recognition as Sustainers-level on
event materials
Up to four Boston gala tickets with reserved seating / online tickets
1/2 slide ad in digital program book
Dedicated tickets for Keshet youth or community members
Friends
$1,800
check the box to learn more
Recognition as Friends-level
on
event materials
Up to two Boston gala tickets with reserved seating / online tickets
1/4 slide ad (text only) in digital program book
I'd like to make an additional donation.
$
Text Variables
Honor
Memory
Sponsorship Level Hide
Sponsorship Amount
$
Additional Donation
$
How will you be attending OUTstanding!?
Online
In Person
We will be in touch with details on how to join us online when we get closer to Thursday, November 9th. If you have any questions, please reach out to Elana Steinlauf Ohl, Keshet’s Annual Giving and Events Manager at
[email protected]
Number of tickets you would like to use:
Please select...
I will decide at a later date
10
9
8
7
6
5
4
3
2
1
0
Number of tickets you would like to use:
Please select...
I will decide at a later date
8
7
6
5
4
3
2
1
0
Number of tickets you would like to use:
Please select...
I will decide at a later date
0
1
2
3
4
5
6
Number of tickets you would like to use:
Please select...
I will decide at a later date
0
1
2
3
4
Number of tickets you would like to use:
Please select...
I will decide at a later date
1
2
Ticket Formula
We invite you to select one of the following:
My sponsorship is dedicated to an
Honoree
My sponsorship is
In Honor
of
My sponsorship is
In Memory
of
No dedication selected
Please select an Honoree for dedication
Rabbi Daniel Bogard and Rabbi Karen Kriger Bogard
Maharat Rori Picker Neiss and Russel Neiss
Dr. Jenny Siegel
Michael W. Twitty
(Optional) Please
E-mail
Mail
an acknowledgement of my gift to:
Name
Please enter the information of someone we should inform of your dedicated gift (other than you).
x
Message
Address
E-mail
Registration Information
Primary Contact:
Title (Optional)
Please select...
Cantor
Dr.
Hazzan
Hon.
Kohenet
Lezbtzn
Madrich Ruchani
Madricha Ruchanit
Madrikh
Maggid
Maharat
Pastor
Prof.
Rabbi
Rav
Reb.
Rebbetzin
Rep.
Rev.
Sen.
First Name
Last Name
E-mail
E-mail Type
Please select...
Work
Personal
How would you like to be listed on event materials?
Examples:
Rabbi Sarah Schwartz
Rabbi Sarah Schwartz and Dr. Sally Cohen
The Schwartz - Cohen Family
Rabbi Sarah Schwartz, Temple Israel
This registration is through my Organization
No
Yes
Mailing Address
Address Type
Home
Work
Organization Name
Address
Address Line 2
City / Town
State/Province
Please use 2-Letter Abbreviation for US States
x
Zip / Postal Code
Country
Please select...
United States
Canada
Australia
Israel
United Kingdom
----
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
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Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
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Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
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Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
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Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
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Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Virgin Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Organization Name
Address Line 1
Address Line 2
City / Town
State/Province
Please use 2-Letter Abbreviation for US States
x
Zip / Postal Code
Country
Please select...
United States
Canada
Australia
Israel
United Kingdom
----
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Virgin Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Payment Information
How would you like to make your payment?
I will pay now with a credit card.
Please invoice me.
Credit Card Information
Please note, all online payments will be increased by 3% to cover Keshet's credit card processing fees
.
Cardholder First Name
Cardholder Last Name
Billing Email Address
Credit Card Number
Exp Month
Please select...
01
02
03
04
05
06
07
08
09
10
11
12
Exp Year
Please select...
2023
2024
2025
2026
2027
2028
2029
2030
CVV code
SPONSORSHIP
$
DONATION
$
PROCESSING FEE (3%)
$
TOTAL CHARGE
$
Invoice Information
SPONSORSHIP
$
DONATION
$
TOTAL TO BE INVOICED
$
Authnet_Hidden_Fields
FA Marker
If you have any questions, please reach out to Elana Steinlauf Ohl, Annual Giving and Events Manager, at
[email protected]
