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Yahrtzeit Kaddish & Donation form

Yahrtzeit Kaddish & Donation form


A Yahrzheit is an opportune time to connect to the eternal soul of our dearly departed loved ones by engaging in meaningful, spiritual acts on their behalf, including attending synagogue, saying Kaddish, and offering prayers.

If you would like a JRCC rabbi to say Kaddish for your loved one, please complete the following form:

Your First Name: Your Last Name:

Name of Deceased:

Hebrew Name of Deceased:

Hebrew Date of Yahrtzeit (for example, 23 Tammuz):

If you would like to make a donation in memory of your loved one, please complete the following form:

Donation Amount: $18.00 $36.00 $72.00 $108.00 Other:

Billing address:

City: Postal Code:

Home Phone Number: Cell Phone Number:

E-mail address:

Please select your method of payment:

Credit Card Number (no spaces): Expiry Date (MM/YY):

Name as it appears on the card: