Please complete the following form so we may know who to send the Ticket(s) to.

After completion please press the “Submit” Button and then pay for the tickets via the “Buy Now” Button.


After pressing the Submit Button please Select your ticket type and press the Buy Now button.

The ticket prices reflect a slight increase to offset the Online service fees.

Ticket Types:

If you would like to send a check (to avoid the service fees), please print the form above and submit with a check payable to:

UJAAUSA

229-19 Merrick Boulevard, #141
Springfield Gardens, NY 11413

The cost of tickets are:

Adult $150.00
Children under 13 $75.00
Table (10 Persons) $1,500.00

DEADLINE!

ALL ticket purchases must be RECEIVED by December 1st 2021!