Yizkor Memorial Form

Memorial Services
-Contact Info-
Full Name*

First Name Last Name
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

I would like to receive news and updates by email
Phone Number*

Area Code Phone Number
-Memorial Options-
*

Please mention my loved ones at the Yizkor services Please add the names of my loved ones to the Synagogue Memorial Wall ($540)
-Memorial Services-
Please enter the names of your loved ones
Loved One #1*

Loved Ones Name
Loved Ones Father's Name
Your Relationship to Loved One
Date of Passing [MM/DD/YY]
Loved One #2

Loved Ones Name
Loved Ones Father's Name
Your Relationship to Loved One
Date of Passing [MM/DD/YY]
Loved One #3

Loved Ones Name
Loved Ones Father's Name
Your Relationship to Loved One
Date of Passing [MM/DD/YY]
Loved One #4

Loved Ones Name
Loved Ones Father's Name
Your Relationship to Loved One
Date of Passing [MM/DD/YY]
-Optional Donation-
We would like to donate to the JCC in honor of our loved one.
$36 $72 $180 $360 $540 $1000 $5000
Other Amount
Total

$0.00

Payment Information

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

100% of the proceeds of this donation or payment benefit the Jewish Community Center of the South Bay.
-Comments-
Should be Empty:

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Schedule of Services

Shabbat
Friday Night- Kabbalat Shabbat 7pm

Shabbat Morning- Shacharit

Morning Service: 10:00am
Followed by a Kiddush buffet

Shabbat Afternoon- Mincha

Standard Time: 1:30pm

Daylight Savings: 20 minutes before sundown

Saturday Evening- Maariv

Standard Time: 15 minutes after shabbat ends

Daylight Savings: When Shabbat Ends

Weekday
Sunday 8:00am
Monday ‑ Friday 7:00am

Memorial Services