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Yizkor Appeal & Memorial Booklet

Dear Friend,

We are writing to let you know that the Chabad of the Five Towns will publish its fourth annual
“Yizkor Booklet”, in time for Yom Kippur 5777 (October 11, 2016). The booklet will contain all the Yizkor prayers in Hebrew and English. In addition, it will feature a separate section listing the names of departed souls and the family members you wish to be remembered. The booklet will be available at Chabad each time Yizkor is recited and will honor those family members who have passed on to their eternal reward.

If you would like to participate by giving tzedaka in memory of a deceased family member and having them listed in our yizkor booklet please see available dedication opportunities below.

The Tree of Life is another wonderful way to memorialize your loved ones. For more information go to our web site www.chabad5towns.com/treeoflife.

Please complete the form below and submit payment.
Contact Information
Last Name
First Name
Address
City/State/Zip
Phone
Email
Yahrtzeit Information
Please include the below names at $36.00 per name in the memorial listing.

Name 1:

Civil | Hebrew | Father's Hebrew | Last

/ /
Date of Passing: MM / DD / YYYY

Relationship
i.e. mother of

Name 2:


Civil | Hebrew | Father's Hebrew | Last

/ /
Date of Passing: MM / DD / YYYY

Relationship

Name 3:


Civil | Hebrew | Father's Hebrew | Last

/ /
Date of Passing: MM / DD / YYYY

Relationship

Name 4:


Civil | Hebrew | Father's Hebrew | Last

/ /
Date of Passing: MM / DD / YYYY

Relationship

Name 5:


Civil | Hebrew | Father's Hebrew | Last

/ /
Date of Passing: MM / DD / YYYY

Relationship

Name 6:

Civil | Hebrew | Father's Hebrew | Last

/ /
Date of Passing: MM / DD / YYYY

Relationship
I would like to place a Dedication Ad in memory of a loved one:
¼ Page | $125 ½ Page | $200 Full Page | $500 Business Card | $60 Booklet Sponsor | $1,800

Yes, I would like to increase my generousity of Tzedakah (charity) on the High Holidays during our Kol Nidrei appeal, on the evening of Yom Kippur and before Yizkor services the morning of Yom Kippur and Final Days of Sukkot morning by making the below donation.
Optional Donation
Charge Amount
Card Type
Card Number
Expiration Date
Card Code
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