DONATION FORM FOR SPECIAL REMEMBRANCES
(one person per form)

You may choose from one of the following:

Kaddish List – Add the name of a recently deceased loved one to only the Kaddish List, to be read for one year after death ($100)
Yahrzeit List – Add to the Kaddish List and permanently add the name to the annual Yahrzeit List of a recently deceased or previously deceased loved one ($125)
Book of Life – Add to the Kaddish and Yahrtzeit lists and permanently enter a name into the Book of Life (Yizkor Book) ($180)
Change from Yahrzeit to Book of Life – Permanently add name into Book of Life (Yizkor Book), which was previously only on Yahrzeit List ($55 additional)

You may also upload a photo to be used with the Yizkor Services Memorial Slide Presentation.

Name of deceased(Required)

First Last

Enter the first and last name of the deceased.

Calendar(Required)

Gregorian

Hebrew

Commemorate the date of death using the Gregorian or Hebrew calendar?

Date of Death(Required)

MM slash DD slash YYYY

Enter the Gregorian Date of death

Jewish Date of Death(Required)

Enter the Jewish date of death here, for example, 11 Tamuz 5781

Donor Information: Please fill out the fields below

Name(Required)

First Last

Address(Required)

Street Address City State ZIP Code

Phone

Email(Required)

Relationship to the deceased(Required)

Type(Required)

Kaddish List ($100)

Yahrtzeit List ($125)

Book of Life ($180)

Change from Yahrtzeit List to Book of Life ($55)

Other (enter amount in Contribution box below)

None

We are committed to the principle that finances will not be a barrier to participation. Please use the "Other" option and enter the amount you are able to donate.

Photo for Slide Show

Max. file size: 50 MB.

Contribution

If you'd like to make an additional contribution in memory of your loved one.

Payment method(Required)

PayPal

Zelle

Check (mail or deliver to office)

No payment

Other

- If you choose PayPal, you will be taken to the PayPal website after you click Submit. - If you choose Zelle, make the payment through your Zelle-participating bank or use the Zelle app after you click Submit. Pay with Zelle to: bookkeeper@hebrewtabernacle.org. - Mail checks to Hebrew Tabernacle, 551 Fort Washington Avenue, New York, NY 10033 - If you select the Other field, you must enter something in the box.

Do you want to cover the payment transaction fee?

Yes, I am willing to add 3% to cover the PayPal transaction fee.

Transaction fee

Price: $0.00

Total

Name

This field is for validation purposes and should be left unchanged.

Δ