Yizkor - Complete this form to have yoInclude the names of your loved ones in the Chabad Yizkor Service

Complete this form to have your names read for Yizkor at Chabad! The names you submit will be included in our prayers.
Your Name*
Title First Name Last Name
E-mail*
Name of your loved one* e.g. Devorah bat Sara
Name and Mother's name (some have a custom to go by fathers name)
Relationship
Date of Passing

Month Day Year
Contribution

It is customary to do good deeds in memory of loves ones when we say Yizkor. Traditionally Charity is designated in their memory to a worthy cause. Please consider supporting Jewish Students at UCF & Valencia in memory of your loved one,
Amount

$3600$1800$1080$540$770$360$180

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%
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Contribution