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Yizkor Booklet

Participate in Chabad’s Yizkor Booklet.
Benefits Include:
• Memorialized name recited by Rabbi Yoseph Geisinsky in Yizkor prayer
(even if you are unable to attend the Yizkor services)
• Phonetic translation of Kaddish prayer
• Receive a booklet containing
     1) Laws of mourning
     2) Graveside prayer
     3) Special reading
     4) Returning Torah to Ark prayers
Full Name*
First NameLast Name
Home Number*
Area CodePhone Number
Cell Number*
Area CodePhone Number
Work Number
Area CodePhone Number

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail*
I would like to receive news and updates by email
Deceased Info:
Number of deceased names*
English Name*
Hebrew Name*
Deceased Father’s Name in Hebrew*
Deceased Mother’s Name in Hebrew*
Relationship*
Additional Deceased:
English Name
Hebrew Name
Deceased Father’s Name in Hebrew
Deceased Mother’s Name in Hebrew
Relationship
Additional names
Price:
$36/name
Additional donation
$
Total
$0.00

Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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