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Name: Last, First

Please use field below
or any relevant notes:

Phone

Email

Credit Card Expiration Date

CVV Charge Amount: $100 per name Please bill me

 

 

YAHRZEIT INFORMATION
Please list all my yahrzeit names from the Shul's records associated with my family
Please use the following list:

 

Name
Civil / Hebrew / Father's Hebrew / Last

Date of Passing: MM / DD / YYYY

/ /

Relationship i.e. mother of

Name
Civil / Hebrew / Father's Hebrew / Last

Date of Passing: MM / DD / YYYY

/ /

Relationship i.e. mother of

Name
Civil / Hebrew / Father's Hebrew / Last

Date of Passing: MM / DD / YYYY

/ /

Relationship i.e. mother of

Name
Civil / Hebrew / Father's Hebrew / Last

Date of Passing: MM / DD / YYYY

/ /

Relationship i.e. mother of

Name
Civil / Hebrew / Father's Hebrew / Last

Date of Passing: MM / DD / YYYY

/ /

Relationship i.e. mother of