Please fill out the following form if you wish to add someone to our list to be remembered on Shabbat for Kaddish.

*Required Information

You may list mutiple person's names, please put each person on a separate line.  Also please let us know the date of thier passing if you know it and whether or not it is an anniversary or a recent departure. 
  
 First Name:
 Date:
Recent   Anniversary
 First Name:
 Date:
Recent   Anniversary
 First Name:
 Date:
Recent   Anniversary
 First Name:
 Date:
Recent   Anniversary
 First Name:
 Date:
Recent   Anniversary
 First Name:
 Date:
Recent   Anniversary
 First Name:
 Date:
Recent   Anniversary

 

Your Contact Information

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