5785 YOM KIPPUR YIZKOR (MEMORIAL) BOOK

Your Name*

First NameLast Name

Your Email*

example@example.com

Please note the date of death (month and year) if the person to be remembered passed away in the Jewish year 5785. Only the names of those who passed away in 5785 will be read aloud at the Yizkor service that takes place after the Torah is read.

How many loved ones/couples would you like to remember in the Yizkor booklet. Each person/couple should be entered in their own field. *

#1 Name/s of loved one or couple, to be remembered:*

#1 Their relationship to you: Please include the date of death ONLY if they passed away in 5784.*

#2 Name/s of loved one or couple, to be remembered:

#2 Their relationship to you: Please include the date of death ONLY if they passed away in 5785.

#3 Name/s of loved one or couple, to be remembered:

#3 Their relationship to you: Please include the date of death ONLY if they passed away in 5785.

#4 Name/s of loved one or couple, to be remembered:

#4 Their relationship to you: Please include the date of death ONLY if they passed away in 5785.

#5 Name/s of loved one or couple, to be remembered:

#5 Their relationship to you: Please include the date of death ONLY if they passed away in 5785.

#6 Name/s of loved one or couple, to be remembered:

#6 Their relationship to you: Please include the date of death ONLY if they passed away in 5785.

It is customary to offer a tzedakah donation in memory of those persons whose names are listed. We suggest a donation of $18 per entry. However, all names are welcome as part of our community’s Yizkor service, whether or not a donation has been made.*

Yes - I would like to make a donation by credit cardYes - I would like to make a donation by checkNo - I would not like to make a donation at this time

Check Donation Amount

Please send your check to: 742 Main St, Amherst, Ma 01002. Please make your check out to “JCA” with "Yizkor" in the memo line.

Donation Amount

USDYizkor Book

Payment Methods

5786 YOM KIPPUR YIZKOR (MEMORIAL) BOOK - ENTRY FORM