Yahrzeit Reminders

Please submit a separate page for each member that wants to receive reminders.
Your Name(Required)
PLEASE PRINT THE NAME(S) BELOW EXACTLY AS YOU WOULD LIKE THEM TO APPEAR ON THE BIMAH LIST:
First Name of Deceased:
Last Name of Deceased:
Hebrew Name of Deceased:
Relationship to you:
Date of Death:
Hebrew or Gregorian Reminder (H or G)
 
Click the + symbol to add additional rows for each yahrzeit name.