2026 Gala Journal Honoring Adrianne & Eric Roth

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To print a copy of the journal form, click here.

ALL JOURNAL AD SUBMISSIONS ARE DUE BY SUNDAY, JAN. 10, 2026

* First Name

* Last Name

* My Email

* Street

* City

* Zip

* Phone

* What would you like?

SPONSORSHIPS

Sponsor Ticket #1 Full Name

Sponsor Ticket #2 Full Name

Please seat us with:

I'd like to order additional guest tickets ($136 ea):

Sponsor Guest Ticket #1 Full Name

Please seat with:

Sponsor Guest Ticket #2 Full Name

Please seat with:

Sponsor Guest Ticket #3 Full Name

Please seat with:

Sponsor Guest Ticket #4 Full Name

Please seat with:

JOURNAL ADS

Please Choose One

I would like to place a Diamond Ad - $3,600I would like to place a Ruby Ad - $1,800I would like to place a Emerald Ad - $1,000I would like to place a Sapphire Ad - $500I would like to place a Gold Ad - $360I would like to place a Chai Ad - $180I would like to place a Friends Ad - $54 (Your name only, featured on a list, no messages or business cards)

Please write your message here

If you would like to include a photo, your logo, or business card; please email a .jpg, .png, or .pdf file to gala@woodburyjc.org please make sure the image is between 1-10 megabytes to ensure clear image on a screen. If you are placing a Friend Ad, please type how you would like your name listed below (e.g The Smith Family, John and Jane Smith)

I'd like to make an additional donation to the Gala E-Journal:

THANK YOU FOR YOUR SUPPORT

TOTAL

Tue, November 4 2025 13 Cheshvan 5786