2025/2026 Yizkor Book Form

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2025/2026 Yizkor Book Form

Please click link to submit names on line

YIZKOR SERVICE BOOKLET

Please have submission in to the office by September 2, 2025

This is the Yizkor Service Booklet Form for submissions for the 5786 Yizkor Book. You can submit this on line or mail it in. (a form was mailed in your June mailing.

Have it in by September 2, 2025 This is a firm deadline. After September 2nd it will be sent to the printers and your names will not be in the booklet. Please call the office with any questions @ 203-799-2341.

If you wish to have a family member’s name listed in the booklet, please fill in(it will automatically go to Ileane) or mail it back to the office at 205 Old Grassy Hill Road, Orange, CT 06477.

Only the names that are submitted to the Synagogue, will be included in this booklet. You must resubmit each year but you can indicate “same as last year”. (Please note: we cannot bill your Or Shalom account for the Yizkor Book. Thank you for your
cooperation and understanding.)

* Last Name

First Name

Email Address

$15 per name

OneTwoThreeFour

5-12 names ($75)

5-12

13& up names ($85)

13 & up names

Total

Please List Names. If same as last year, just note same as last year.

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