5785 Yizkor Book Form

As the High Holidays approach, we invite you to honor the memory of your loved ones by including their names in the Ida Pearle and Joseph Cuba 5786 Yizkor Memorial "Pages of Remembrance" book. By inscribing their names in this book, you fulfill the mitzvah of giving in honor and in memory of those who have passed.

In order to meet our mandatory publication deadline, requests for inclusion must be received on time. Due to mailing constraints, the deadline to receive submissions is Monday, August 25, 2025.

5786 Yizkor Services

Yom Kippur—Thursday, October 2, 2025
Sukkot Day 8 (Shemini Atzeret)—Tuesday, October 14, 2025
Passover Day 8—Wednesday, April 29, 2026
Shavuot Day 2—Saturday, May 23, 2026

Name*

First NameLast Name

Email*

Phone Number*

Is your submission the same as last year? (If you've never submitted, choose "no.")*

YesNo

How many single names would like to be listed? ($25 per single name)*

(Ex. Jon Stein)

Single Name 1*

First NameLast Name

Single Name 2*

First NameLast Name

Single Name 3*

First NameLast Name

Single Name 4*

First NameLast Name

Single Name 5*

First NameLast Name

Single Name 6*

First NameLast Name

Single Name 7*

First NameLast Name

Single Name 8*

First NameLast Name

Single Name 9*

First NameLast Name

Single Name 10*

First NameLast Name

Total Single Names

How many double names would like to be listed? ($50 per double name)*

(Ex. Jon and Jane Stein)

Double Name 1*

Double Name 2*

Double Name 3*

Double Name 4*

Double Name 5*

Total Double Names

Remembered by:*

First NameLast Name

Additional Notes/Info

Total

Total*

USDIncluded Convenience Fee (3% of Total)

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

Ida Pearle and Joseph Cuba Yizkor Memorial “Pages of Remembrance” Book