Fit by DNK – American Committee for Shaare Zedek Medical Center in Jerusalem

Will you be attending?*
- Yes, I am attending
- No, I am not attending
Individual Admissions Quantity
Individual admissions are $75 per person.
Price: $75.00
Additional Sponsorship
- I would like to be an event sponsor - $180
- I would like to sponsor life-saving equipment at Shaare Zedek for Operation Swords of Iron - $250
- I would like to sponsor life-saving equipment at Shaare Zedek for Operation Swords of Iron - $360
- I would like to sponsor life-saving equipment at Shaare Zedek for Operation Swords of Iron - $500
- I would like to sponsor with a different amount
Enter amount to give:
First Name*
Last Name*
Email*
Phone*
If you are purchasing more than 1 ticket, please list your additional guest(s)'s name, email and phone number here.
Billing Information
Billing Name*
First Last
Billing Address*
Street Address Address Line 2 City State ZIP Code
Please make your check payable to American Committee for Shaare Zedek and mail to:

American Committee for Shaare Zedek
8671 Wilshire Blvd. #712
Beverly Hills, CA 90211
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Will you help us cover the 3% Credit Card Transaction Fee?
- Yes, please add the 3% Transaction Fee to My Total Donation
Transaction Fee
Price: $0.00
Total
$0.00
How did you hear about us?

310.229.0915 – westernregion@acsz.org
Western Region, American Committee for Shaare Zedek Medical Center in Jerusalem
8671 Wilshire Blvd. #712, Beverly Hills, CA 90211

national@acsz.org

New York, NY 10018

Call Us Now
(212) 764-8116

Shaare Zedek x FITBYDNK

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