Yizkor Form

Remember your loved ones by including them in the Yizkor booklet.

Yizkor will be recited on Yom Kippur, Monday, September 21st at 12 PM.
Full Name*
First Name Last Name
E-mail*
I would like to receive news and updates by email
Phone Number*

Area Code Phone Number
Yizkor Book Dedication*

Full Page - $180Half Page - $100Listing - $18 per name
If you select Full Page or Half Page, you can list as many names as you want that can fit in your selected page.
Number of Listings*
$18 Per Name
Yahrtzeit Information

Please use the names I listed in last year’s bookPlease use the following list:
Name #1
Name 1
Remembered By
Name #2
Name 2
Remembered By
Name #3
Name 3
Remembered By
Additional Names Please add the following information: Civil Name, Hebrew Name, Father's Hebrew Name, Last Name, & Remembered by.
Yizkor Book Dedication - Page text:
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Name #1