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# Attending the Mass

Please enter # of guests attending the mass

Select sponsorship donation

Platinum Sponsor

$25,000

Includes two dinner tables of 12

Gold Sponsor

$15,000

Includes one dinner table of 12

Silver Sponsor

$10,000

Includes one dinner table of 10

Individual Ticket(s)*

$175

Individual Ticket to the event

*$50 per ticket is tax deductible.

If you wish to be listed as anonymous, check here.

Sorry, I am unable to attend this event.

Please provide the name(s) of all the guests you are purchasing tickets for. (Required)

First Platinum Guest Name:

Second Platinum Guest Name:

Third Platinum Guest Name:

Fourth Platinum Guest Name:

Fifth Platinum Guest Name:

Sixth Platinum Guest Name:

Seventh Platinum Guest Name:

Eighth Platinum Guest Name:

Ninth Platinum Guest Name:

Tenth Platinum Guest Name:

Eleventh Platinum Guest Name:

Twelfth Platinum Guest Name:

Please provide the name(s) of all the guests you are purchasing tickets for. (Required)

First Gold Guest Name:

Second Gold Guest Name:

Third Gold Guest Name:

Fourth Gold Guest Name:

Fifth Gold Guest Name:

Sixth Gold Guest Name:

Seventh Gold Guest Name:

Eighth Gold Guest Name:

Ninth Gold Guest Name:

Tenth Gold Guest Name:

Eleventh Gold Guest Name:

Twelfth Gold Guest Name:

Please provide the name(s) of all the guests you are purchasing tickets for. (Required)

First Silver Guest Name:

Second Silver Guest Name:

Third Silver Guest Name:

Fourth Silver Guest Name:

Fifth Silver Guest Name:

Sixth Silver Guest Name:

Seventh Silver Guest Name:

Eighth Silver Guest Name:

Ninth Silver Guest Name:

Tenth Silver Guest Name:

Please provide the name(s) of all the guests you are purchasing tickets for. (Required)

First Guest Name:

Second Guest Name:

Third Guest Name:

Fourth Guest Name:

Fifth Guest Name:

Sixth Guest Name:

Seventh Guest Name:

Eighth Guest Name:

Ninth Guest Name:

Tenth Guest Name:

If you are unable to attend the event but would still like to submit a donation, please select a donation amount below.

Your Information

First Name

Last Name

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Mobile Number

PLEASE NOTE: You will be receiving a confirmation code via your email, after you submit this form. If there are any problems or you did not receive the code, please contact us directly at 201-818-9033 or [email protected].

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Donor hereby approves the payment of the donation and/or purchase to Several Sources and in the amount set forth herein.

INFORMATION FILED WITH THE ATTORNEY GENERAL CONCERNING THIS CHARITABLE SOLICITATION AND THE PERCENTAGE OFCONTRIBUTION RECEIVED BY THE CHARITY DURING THE LAST REPORTING PERIOD THAT WERE DEDICATED TO THE CHARITABLE PURPOSE MAY BE OBTAINED FROM THE ATTORNEY GENERAL OF THE STATE OF NEW JERSEY BY CALLING (973)504-6215 AND IS AVAILABLE ON THE INTERNET AT http://www.njconsumeraffairs.gov/charities/Pages/charities-registration-information.aspx. REGISTRATION WITH THE ATTORNEY GENERAL DOES NOT IMPLY ENDORSEMENT. CONTRIBUTIONS TO SEVERAL SOURCES SHELTERS ARE TAX-DEDUCTIBLE TO THE EXTENT PERMITTED BY LAW.