Book of Remembrance 5786

5786 High Holidays - Book of Remembrance

PLEASE SUBMIT BY FRIDAY, 9/12

Please use this form to confirm your order for this year's book. To review name listings from last year's book click here.

Name: *

First NameLast Name

Cell Phone*

Area CodePhone Number

E-mail*

example@example.com

Book of Remembrance*

Same entries as last year (no changes)Same entries as last year with additions and/or editsNew submission (I would like to be included for the first time)I do not want to be included this year

Family name (to be the heading of your list)

Please list names for this year's book (new additions, edits from last year, or new submissions) in this box. Separate names with commas.

Contributions (The traditional donation is $18 per name.)

USDDescription

Payment Method (Choose 1)*

Via credit card online. You must submit payment for us to receive your submission information. (After you hit submit below, you'll be taken to PayPal for payment. You do NOT need a Paypal account; you can pay with credit card by choosing Guest checkout.)Please bill my KM membership account. (After you hit submit below, your entry will be submitted to KM.)