DRAFT - Yahrzeit Slip Replacement

Please complete the form below to indicate how you would prefer your yahrzeit to be marked.

If you would like to make a donation to commemorate this, please click here.

Your English name(Required)

Your email address(Required)

English date of yahrzeit(Required)

The deceased's relationship to you(Required)

Memorial Prayer - Absent

I am unable to be in shul on the above date but would like a memorial prayer to be recited

Memorial Prayer - In Shul

I shall be in shul on the above date or the Shabbat before and would like a memorial prayer to be recited

Aliya

I or my nominee shall be in shul by 10.00 on the above date or the Shabbat before and would appreciate an aliya if circumstances permit

Additional Details