Calendar Sponsorship

The form below is for submitting a Greeting, or Yartzeit / Birthday Dedication. To advertise a business, click here.

If you have any questions or require additional information, please call Leah Blecher at 917-202-2185 or the office at 281-719-5213 or email [email protected]
My Information:
Full Name:*
First Name Last Name

Address:*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number:*

Area Code Phone Number
E-mail:*
Standard Shana Tova Greeting ($36):
I would like to insert a Shana Tovah greeting and wish the community a Happy & Sweet new year.
Shana Tova from (names of sponsors only, max 5 words):
Personalized Greeting (business card $275, quarter page $375, half page $500, full page $775):
I would like to add a personalized greeting.
I would like to personalize my greeting with a:*

Business card boxQuarter page greetingHalf page greetingFull page greeting
Personalized Greeting:
Dedicate a month ($180): Will appear on the date page of that month.
I would like to dedicate a month.
I would like to add a dedication in:*

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
Dedication:* (10 words max)
Yartzeit / Birthday dedication ($36 per date):
I would like to add a Yartzeit/Birthday dedication.
(If you would like to place it on the Hebrew date, please (i) enter the civil date with the original year of occurrence and (ii) check the box requesting that it be placed on the corresponding Hebrew date.

If you want the occasion listed twice, on the Hebrew and Civil dates, 2 occasion entries will need to be completed.

Yartzeits engraved on the Memorial Board, are perpetually included in the calendar.
Number of Occasions:*
Occasion 1:*
Occasion 1 Name:*
Please select:*

I don't know the Hebrew date.I know the Hebrew date.
Occasion 1 Date:*

Month Day Year
Please place this occasion on the corresponding Hebrew date!
Was the time of Occurrence after sunset?*

YesNoUnknown
Hebrew Month*
Hebrew Date*
Occasion 2:*
Occasion 2 Name:*
Please select:*

I don't know the Hebrew date.I know the Hebrew date.
Occasion 2 Date:

Month Day Year
Please place this occasion on the corresponding Hebrew date!
Was the time of Occurrence after sunset?*

YesNoUnknown
Hebrew Month*
Hebrew Date*
Occasion 3:*
Occasion 3 Name:*
Please select:*

I don't know the Hebrew date.I know the Hebrew date.
Occasion 3 Date:

Month Day Year
Please place this occasion on the corresponding Hebrew date!
Was the time of Occurrence after sunset?*

YesNoUnknown
Hebrew Month*
Hebrew Date*
Occasion 4:*
Occasion 4 Name:*
Please select:*

I don't know the Hebrew date.I know the Hebrew date.
Occasion 4 Date:

Month Day Year
Please place this occasion on the corresponding Hebrew date!
Was the time of Occurrence after sunset?*

YesNoUnknown
Hebrew Month*
Hebrew Date*
Occasion 5:*
Occasion 5 Name:*
Please select:*

I don't know the Hebrew date.I know the Hebrew date.
Occasion 5 Date:

Month Day Year
Please place this occasion on the corresponding Hebrew date!
Was the time of Occurrence after sunset?*

YesNoUnknown
Hebrew Month*
Hebrew Date*
Occasion 6:*
Occasion 6 Name:*
Please select:*

I don't know the Hebrew date.I know the Hebrew date.
Occasion 6 Date:

Month Day Year
Please place this occasion on the corresponding Hebrew date!
Was the time of Occurrence after sunset?*

YesNoUnknown
Hebrew Month*
Hebrew Date*
Occasion 7:*
Occasion 7 Name:*
Please select:*

I don't know the Hebrew date.I know the Hebrew date.
Occasion 7 Date:

Month Day Year
Please place this occasion on the corresponding Hebrew date!
Was the time of Occurrence after sunset?*

YesNoUnknown
Hebrew Month*
Hebrew Date*
Occasion 8:*
Occasion 8 Name:*
Please select:*

I don't know the Hebrew date.I know the Hebrew date.
Occasion 8 Date:

Month Day Year
Please place this occasion on the corresponding Hebrew date!
Was the time of Occurrence after sunset?*

YesNoUnknown
Hebrew Month*
Hebrew Date*
Payment Information:
I would like to add a donation of:

$
Total:

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 2.75%

Payment:*

Credit Card Paypal Check

Postal / Zip Code

Country

Comments:
100% of the proceeds of this donation or payment benefit Chabad of The Woodlands.
Should be Empty:

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