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The Shul Yahrtzeit Kaddish and Memorials

Yizkor Memorial Form

Include your loved one in our community redesigned Yizkor booklet

It is customary to give charity in memory of the loved ones mentioned during Yizkor.
Your Information

First Name Last Name
E-mail

Address

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

Names of Loved ones for dedications

Please include the name of your loved ones and their parents names. Please provide Hebrew names if you know them.
Please enter the info as follows... Moshe ben Baruch - Golda
Optional Donation amount

$18 $36 72 $90 $180 $360 $1080 $1800
Total

$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

Should be Empty:

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