YIZKOR MEMORIAL BOOKLET FORM 2023-2024

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Please respond by Sunday, September 10, 2023

To pay via PayPal click paypal.com/us/fundraiser/charity/1444321
Or make Checks payable to: Ahavat Achim and mail to Joyce Heller at
787 Ocean Ave, Apt 1606, Long Branch, NJ 07740

Cost is $20.00 per name listed

For questions, contact Joyce Heller at 201-741-6982 or JHeller127@gmail.com

Your Last Name *

Your First Name

Contact phone or email *

Please re-publish: *

As per last year with no changes

All names from last year plus the additional names as per below

Only the following names listed below

Beloved's Name

Morris Doe

Beloved's Hebrew Name (click https://tinyurl.com/23fhc63p for Hebrew keyboard)

Moshe ben Avrum or משה בן אברם

Remembered By

Meir & Leah Doe & Family

Total Payment (number of listings x $20.00 per listing): *

To pay via PayPal click paypal.com/us/fundraiser/charity/1444321 Or make Checks payable to: Ahavat Achim and mail to Joyce Heller, 14 Kershner Place, Fair Lawn, NJ 07410

Pay via PayPal

I will Mail a Check

Bill my Shul Account

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