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Yizkor Request Form

  • Due to the current situation, we are understand that many people may be unable to gather and pray together with us in Shul.

    On Shabbat morning, Rabbi Yossi Levertov will pray in front of the Torahs at shul.  If you are unable to attend, he will have you and your family very much in mind and heart.

    If you would like Rabbi Yossi to mention your loved ones' names in front of the Torah, please complete the form below.

    As it is customary to give Tzedakah in conjunction with Yizkor, we have included an optional donation below.

  • Personal Information

  • Yizkor Information

  • When listing a loved one's name, please include the following information:

    · Deceased's Name

    · Deceased Mother's Name

    · Deceased Father's Name

    · Date and year of Passing, if known 

  • Optional Donation

    Credit Card
    I will send in payment
    Billing Address
  • Should be Empty:
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