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& Simchat Torah

At Chabad of Singer Island & the Beaches

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Yizkor Memorial Services

Complete this form to add the names of your loved ones.

The names you submit will be included in the sanctuary during the Yizkor memorial Service.

The Yizkor Memorial Service will take place:

Shmini Atzeret, Shabbat, October 3, 2026, at 11:00am

Chabad of Singer Island, Juno Beach & the Beaches

1201 S Harbor Dr, Singer Island, FL 33404
Your Name*
First Name Last Name
E-mail*
Name of your loved one* e.g. Devorah bat Sara
First Name Last Name
Relationship To You*
Date of Passing

Month Day Year
Phone Number

Address

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

Yizkor Contribution

You may choose to include an optional contribution in memory of your loved one
Optional Donation or Sponsorship in Memory of Loved Ones

$54$72$108$180$360$540$1000$1800
Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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