Yizkor Memorial Book

Questions marked with a * are required.

 
*1. Please enter your first name
 
*2. Please enter your last name
 
3. Are you a member of Shomrei Torah Synagogue?
Yes
No
 
*4. Please enter your phone number (no dashes or parenthesis required i.e. 8183460811)
 
*5. Please enter your e-mail address.
 
*6. Remembered by: How would you like YOUR name to appear in the memorial book? (i.e. Jerry & Jane Mensch and Family or Jerry, Jane, and Johnny Mensch, or The Mensch Family)
 
7. Is your list of names EXACTLY the same as last year?
Yes
No
 
8. Please enter the name or names to be included in the Book of Remembrance. [Please enter only one name per line]
 
9. Would you like someone from the office to contact you regarding the Yizkor Memorial Book?
Yes
No