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Yizkor Book Order Form

Dear Friend,

As Yom Kippur comes along we will be going over our Yizkor booklet. You now have the opportunity to fulfill the Mitzvah of remembering your departed loved ones and giving Tzedakah in their merit. This is a meaningful way to honor the departed. Names will be uniform, listed alphabetically by the contributing family. Each name will represent a donation of "chai" ($18.)

The new Yizkor booklet brings a tremendous opportunity to give charity and continue the Jewish legacy of your loved ones.

Your participation in this project enables many more people to have a truly meaningful Yizkor experience and grants you a share in their merit.

If you would like to place a listing, please complete the form below.
Yizkor Information
Name

Civil / Hebrew / Father's Hebrew / Last
Date of Passing

Month Day Year
Name

Civil / Hebrew / Father's Hebrew / Last
Date of Passing

Month Day Year
Name

Civil / Hebrew / Father's Hebrew / Last
Date of Passing

Month Day Year
Name

Civil / Hebrew / Father's Hebrew / Last
Date of Passing

Month Day Year
Name

Civil / Hebrew / Father's Hebrew / Last
Date of Passing

Month Day Year
Name

Civil / Hebrew / Father's Hebrew / Last
Date of Passing

Month Day Year
Name

Civil / Hebrew / Father's Hebrew / Last
Date of Passing

Month Day Year
Name

Civil / Hebrew / Father's Hebrew / Last
Date of Passing

Month Day Year
I Would like to List This Many Names
Personal Information
Full Name*

First Name Last Name

Address

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

E-mail*
I would like to receive news and updates by email
Phone Number

Area Code Phone Number
Payment Information

Payment

Credit Card Paypal

Postal / Zip Code

Country

Total

$0.00
Should be Empty:

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