Yizkor Form

On Thursday, June 13 at 11 AM, Yizkor will be said in Shul. If you are unable to attend in person, and would like Rabbi Yossi to mention your loved ones' names in front of the Torah, please complete the form below.

Please use this document to say Yizkor in the comfort of your own home.
Personal Information
Full Name*

First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Yizkor Information
Names of Deceased

Please list each name on a separate line.
Optional Donation
$1800$1000$720$540$360$180$90$54$36

Payment

Credit Card Other

Postal / Zip Code

Country

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Personal Information