Yizkor form

We can ensure that your loved ones are indeed remembered at Yizkor.

When we remember our loved ones, their life is not just a passive memory, but becomes active and their light eternal.

With this in mind, we will be creating a Yizkor booklet including the names of your loved ones. Each name will be included for an $18 (chai) donation.

The Yizkor booklet will be used at each of the four Yizkor services throughout the year.

Please fill out the form below so we can include your loved ones at Yizkor.
YAHRZEIT INFORMATION

Please list all my Yahrzeit names from the Memorial Plaques at Chabad of FairmountPlease use the following list:Please use the information that I have provided in last years Yizkor booklet.
Amount of people to be remembered* How many names would you like include in the Yizkor booklet?
DEDICATION 1 Please add the following information: Full Name, Hebrew Name, Father's Hebrew Name, Date of passing and Relationship (i.e. mother of..).
DEDICATION 2: Please add the following information: Civil Name, Hebrew Name, Father's Hebrew Name, Last Name, Date and Relationship (i.e. mother of).
DEDICATION 3: Please add the following information: Civil Name, Hebrew Name, Father's Hebrew Name, Last Name, Date and Relationship (i.e. mother of).
DEDICATION 4: Please add the following information: Civil Name, Hebrew Name, Father's Hebrew Name, Last Name, Date and Relationship (i.e. mother of).
Donate Please use the notes section below to specify information related to this donation. (In memory of..)

$500$360$180$100$54
Total

$0.00
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