Yom Hazikaron 2024 Name(Required) Mr.Ms.Mrs.Dr.RabbiRebbetzinRabbi Dr.Rebbetzin Dr. Prefix First Last Email(Required) Phone(Required)How do you plan to participate in this event?(Required) In-person Zoom Sponsorship OpportunitiesSponsor in honor or memory of a love one, friend or colleague or as a personal zechut (merit)Sponsorship Opportunities Price: Sponsorship Tiers: Sponsor Entire Program - $5,000 Platinum Sponsor - $1,800 Gold Sponsor - $500 Silver Sponsor - $180 Bronze Sponsor - $72 Chai Sponsor - $18 Custom Amount Sponsor Entire Program Price: Platinum Sponsor Price: Gold Sponsor Price: Silver Sponsor Price: Bronze Sponsor Price: Chai Sponsor Price: Custom Sponsorship Amount(Required) Please write how you would like your name to be listed:(Required) Sponsoring in Honor of: Sponsoring in Memory of: Billing InfoAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Payment InformationPayment Type(Required) Credit Card Check Please make the check out to the Orthodox Union and mail it to the OU office. The mailing address is: Orthodox Union Attn: Hannah Farkas 40 Rector Street, 4th Floor New York, NY 10006 Please note in the memo – Yom Hazikaron CommemorationCredit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Total