You must have JavaScript enabled in order to use this order form. Please enabled JavaScript and then reload order form in order to continue.

Reservations for the Laughter & Entertainment 2

• Please make reservations at $180 per couple
	Note: This is the total quantity attending. If you choose a sponsorship below, the amount will be deducted from your total.
• I'm sorry I can't attend, but I want to help the children of Chai Lifeline.
	I would like to contribute $

Donation Categories
Contributions of $360 and above include a listing in the i-Shine Volunteer Scroll of Honor.

Diamond
Send a bunk of children to Camp Simcha.

$25,000

Titanium
Sponsor a special event in Camp Simcha.

$10,000

Platinum
Give a child a summer vacation at Camp Simcha.

$5,000

Benefactor
Send a family to the Annual Winter Weekend Retreat.

$2,500

Patron
Fulfill a child’s dream.

$1,800

Gold
Sponsor a special event at i-Shine.

$1,000

Silver
Sponsor a month of fun and games at i-Shine.

$720

Partner
Sponsor two weeks of arts & crafts and games at i-Shine.

$500

Friend
Sponsor a week of dinners at i-Shine.

$360

Order Total:$

Please enter your guests' names

Please list me/us in the I-Shine Volunteer Scroll of Honor

Your Name: In Honor of:

Billing Information

Credit Card Payment Information:

Card Type:
Card Number:
Exp Month:
Exp Year:
Security Code:
This is the 3 or 4 digit number printed on the back signature panel. It is on the front of the card for American Express.

required fields

Please mail a receipt to the address above (in addition to the receipt I will receive via email).
Please wait a moment while we process your request. Do not hit the "Process Order" button more than once!