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Digital Yahrzeit Order Form
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About You
*
First Name
*
Last Name
*
Telephone
*
Email
*
The Deceased is my:
Choose One
Mother
Mother-in-Law
Father
Father-in-Law
Sister
Sister-in-Law
Brother
Brother-in-Law
Grandmother
Grandfather
Aunt
Uncle
Spouse
Partner
Friend
Daughter
Son
Cousin
Other Relationship (please specify)
Other Relationship
The Yahrzeit Listing
*
First Name
Middle Name or Initial (optional)
*
Last Name of the Deceased
*
Date of Death
Please contact office if unknown.
*
Observance (Please Select One)
Observe on English Date
Observe on Hebrew Date
Biography
Example: Beloved husband of Jane Smith, Grandfather of Danielle and Amanda Smith; Full Obituaries and Longer Tributes Welcome
Photos (Optional)
You can upload up to 3 images into the box below.
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Ordering
*
Digital Yahrzeit Memorial - $360 Donation
Digital Yahrzeit Memorial - $360 Donation
Total Donation
Sat, April 20 2024 12 Nisan 5784