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ב"ה

Kaddish For your Loved one

Kaddish will be recited in Jerusalem
Please choose a plan:*

First Year Kaddish Observance (Kaddish & Mishnayos will be recited everyday for the first year-11 months) USD$360 Annual Kaddish Observance (Kaddish & Mishnayos will be recited every year on the Yortzite date) USD$180
Choose to honor your loved one with:

Sponsor a full Kiddush meal for the whole community the Shabbat before the Yortzite USD$540 A Book/Sefer in our library USD$50 Dedicate a Parsha in our New Sefer Torah USD$1800 A Contribution for our Building Campaign
INFORMATION ABOUT THE DECEASED
Deceased's Hebrew Name*
Gender*

Female Male
Father's Jewish Name*
I would like to receive news and updates by email
Date of Passing*

Month Day Year
Time of the day*
INFORMATION ABOUT YOURSELF
Title
Full Name

First Name Last Name
E-mail
PAYMENT

Payment*

Credit Card

Credit Card Type
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

Should be Empty:

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