Yizkor Book - Chabad House Jewish Community Center

YIZKOR BOOK DEDICATION List your loved one's name(s) at all 4 Yizkors throughout the year (Yom Kippur, Shmini Atzeres, Pesach & shvu'os) for just $36 per name. All-year Yizkors - $36 per name Chabad Club member: Free of charge _________________________ Click here to learn more about the Chabad Club. _________________________ Dedicate the Yizkor book in honor of your loved one(s) Book Sponsor-dedication: $180 No book dedication
YAHRZEIT INFORMATION Please use the following list:
Name:				Date:			Relationship:
Civil	Hebrew	Mother's Hebrew	Last	Month(xx)	Day(xx)	Year(xxxx)	i.e. mother/father etc.

YIZKOR BOOK DEDICATION - page text.

If you chose to dedicate the book, please type the text for your dedication here.

PAYMENT INFORMATION		Please use field below for any relevant notes:
Last Name*:
First Name*:
Address*:
State:
Zip*:
Email*:
Phone*:

Amount due*:
Payment Method*:	Credit card Check by mail
CC Type:
Credit Card #:
Expiration Date:
CVV

	PLEASE NOTE: ⇒ You must write the total due in the "Amount due" box above. ($36 per listing). ⇒ Members of the "Chabad Club" just write: "CC" in the "Amount due" box above. ⇒ To learn more about the Chabad Club and to become a Member/Partner, click here. ⇒ To make a regular donation of any amount, click here.