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Yizkor Booklet

Add the names of your loved ones to our Yizkor booklets for only $36 per name.
Please specify the number of names you'd like to include*

1 name: $36 6 names: $216 2 names: $72 7 names: $252 3 names: $108 8 names: $288 4 names: $144 9 names: $324 5 names: $180 10 names: $360
Please list the names as you'd like them to appear, separated by a comma in between each name.*
I would like to make an additional Yizkor donation in the amount of:

$18 $36 $54 $72 $90 $108 $126 $144 $162 $360 $900 $1800
Full Name*

First Name Last Name
E-mail*
Phone*

Area Code Phone Number
Total Amount:*

$

Credit Card Info:*

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

By submitting this form, you are authorizing Chabad of Coral Springs to run your credit card for the amount specified above.
Should be Empty:

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