Yizkor, Kaparot & Sponsor

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Submit Names for YizkorYizkor DonationKaparot DonationSponsor or Co-Sponsor Yom Kippur Break-Fast
Details of name to be mentioned
Hebrew Name
ben (son of)bat (daughter of)
Mother's Hebrew Name
Father's Hebrew Name
Purpose

Bracha for successMisheberach (For someone who is not well)Yizkor (in memory of)
Civil Date of Passing (for Yahrtzeit) Optional

Month Day Year
Optional Contribution

You may choose to include an optional contribution in memory or in honor of your loved one.
Yizkor Donation Amount

$7200$3600$1800$1000$540$360$180$100$54$36
Kaparot Donation
Name of Individual

First Name Last Name
Hebrew Name
Mother's Hebrew Name
Father's Hebrew Name
Kaparot Donation Amount

$540$360$180$100$54$36
Yom Kippur Break-Fast Sponsorships
Sponsorship Options

Full Sponsor $1000Partial Sponsor $540Co Sponsor $360Sponsor $180
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$0.00

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Name on Card
Expiration Month	Expiration Year

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