Yahrzeit/Yizkor Donation & Memorial Prayer Request

Form Name
Yahrzeit Donation & Memorial Prayer Request
The most ideal is for you to come to the Shul yourself and say the Kaddish prayers on behalf of your loved one. If this is not possible we would be happy to make arrangements for the prayers to be said on your behalf. Please just complete the details below:
Name of the person you have Yahrzeit for
Relationship
Their Hebrew Name
Their father's Hebrew name
Please tick as appropriate - Please say on my behalf
Your Name
Your email address
Your mobile number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
GIFT AID
Full Name

PrefixFirst NameLast Name
Door Number/Name
Postcode
You can also make a donation in their memory. Giving Tzedakah in memory of a loved one is a meaningful way to honour them and brings great merit to their soul.

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Wishing you and your family a Long Life and may we celebrate Simchas together in the future.
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Yahrzeit Donation & Memorial Prayer Request