YIZKOR BOOK DEDICATION List your loved one's name(s) at all 4 Yizkors throughout the year (Yom Kippur, Shmini Atzeres, Pesach & shvu'os) for only: $19 per name. Chabad Club member: Free of charge ( Click here to become a member ) If this Yartzeit was placed in the calendar: only a $9 donation per name ~~~~ BOOK DEDICATION Dedicate the Yizkor book in honor of your loved one(s) below~~~~DEDICATING AGAIN? IMPORTANT: To make things easier - if you took part in last years Yizkor Book, just fill in the first "Name" with the words "COPY FROM LAST YEAR" and we'll take care of it for youDUE DATETo get the book printed in time for you to use at Chabad, pick-up for home-use or deliver to a friend, kindly fill out this form before Thursday September 28, 2022.These books will be available for pickup before Yom Kipur. YAHRZEIT INFORMATIONName 1Name of loved oneCivil Name, Jewish Name, Mothers Jewish Name, Date of Death, Relationship to youName 2Name of loved oneCivil Name, Jewish Name, Mothers Jewish Name, Date of Death, Relationship to youName 3Name of loved oneCivil Name, Jewish Name, Mothers Jewish Name, Date of Death, Relationship to youName 4Name of loved oneCivil Name, Jewish Name, Mothers Jewish Name, Date of Death, Relationship to youAdditional NamesYIZKOR BOOK DEDICATIONYou are welcome to make a personal dedication in memory of a loved oneBook Sponsor. Full page dedication: $180 Half page dedication: $100 Quarter Page Dedication $55DedicationDedication optionsFull Page DedicationHalf Page DedicationQuarter Page DedicationYour informationYour Name*TitleFirst NameLast NameE-mail*Total DedicationKindly tally your name placements: $19 each $9 each for Calendar sponsors, 0 for Chabad Chai Club membersPlus a donation amount of your choiceAmount$Total$0.00Payment method*Credit Card Paypal Chabad Club Monthly Donor Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2022202320242025202620272028202920302031Expiration YearPaypal has been selected. Payment will take place on the next page.Billing AddressStreet AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountryI would like to receive news and updates by emailSubmitShould be Empty: This page uses TLS encryption to keep your data secure.