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Yizkor Memorial Book Form 2023/5784
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First Name
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Last Name
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Email
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Please enter the best number to reach you in case we have a question.
Please check this box if you want us to use the same information you submitted last year.
Please check this box if you want us to use the same information you submitted last year.
Additional Names for Remembrance:
Remembered by:
It is customary to include an $18 (
chai
) donation for each memorial name listed.
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Amount of your donation:
Wed, October 15 2025 23 Tishrei 5786
