2018 Yizkor Memorial Donation Form

2022/5783 Yizkor Remembrance Form

Honoring the Memory of Our Loved Ones during
Yizkor (Memorial) Services on Yom Kippur

We invite you to remember your loved ones during our Yizkor service
on Wednesday, October 5 at 12:30pm.

On the form below, please provide us with the information for those you are remembering this year, including their names, a few words about them, who is remembering them, and an image (if you so choose).

You may honor the memory of as many loved ones as you wish;
there is an $18 minimum donation per name submitted.

If you are not able to attend a Yizkor service, you are invited to submit the names of those whom you would like to remember.

May their memories be for a blessing.

PLEASE NOTE: This form is NOT a registration form for the High Holy Days.

If you have not yet registered for the High Holy Days, please do so by CLICKING HERE.

MakomNY is a 501(c)(3) organization; all donations are eligible for a tax deduction.
YIZKOR MEMORIAL DONATION INFORMATION 2022/5783
Full Name of Person Completing this Form *

First Name Last Name
Email *
example@example.com
How many names will you be submitting to be remembered this year at Yizkor? *
Would you like to use the slides from last year? *
#1 Name To Be Remembered

First Name Last Name
#1 Name: Description/Message
#1 Name: Upload High Resolution Photo (if desired)

Browse Files

Cancel of
#2 Name To Be Remembered

First Name Last Name
#2 Name: Description/Message
#2 Name: Upload High Resolution Photo (if desired)

Browse Files

Cancel of
#3 Name To Be Remembered

First Name Last Name
#3 Name: Description/Message
#3 Name: Upload High Resolution Photo (if desired)

Browse Files

Cancel of
#4 Name To Be Remembered

First Name Last Name
#4 Name: Description/Message
#4 Name: Upload High Resolution Photo (if desired)

Browse Files

Cancel of
#5 Name To Be Remembered

First Name Last Name
#5 Name: Description/Message
#5 Name: Upload High Resolution Photo (if desired)

Browse Files

Cancel of
#6 Name To Be Remembered

First Name Last Name
#6 Name: Description/Message
#6 Name: Upload High Resolution Photo (if desired)

Browse Files

Cancel of
#7 Name To Be Remembered

First Name Last Name
#7 Name: Description/Message
#7 Name: Upload High Resolution Photo (if desired)

Browse Files

Cancel of
#8 Name To Be Remembered

First Name Last Name
#8 Name: Description/Message
#8 Name: Upload High Resolution Photo (if desired)

Browse Files

Cancel of
#9 Name To Be Remembered

First Name Last Name
#9 Name: Description/Message
#9 Name: Upload High Resolution Photo (if desired)

Browse Files

Cancel of
#10 Name To Be Remembered

First Name Last Name
#10 Name: Description/Message
#10 Name: Upload High Resolution Photo (if desired)

Browse Files

Cancel of
If you are able to donate beyond the minimum for the Yizkor Memorial Donation, please select any amount from the drop-down menu or simply submit your individual donation amount below.
Please Enter Custom Donation
We welcome any special notes or questions here.

Minimum Donation for {howMany} Yizkor Name Submission(s)	${namesubmissiondonation}
Additional Yizkor Yom Kippur Memorial Contribution	${yomkippermemorialselectedcontribution}
Total	${total}

Name-Submission-Donation
Yom-Kipper-Memorial-Selected-Contribution
Total

Yizkor Memorial Donation Total *

Total ( USD one-time payment)

Payment Method

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty: