Yom Kippur Memorial Book, Wall & Bench

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Please return your submission and contribution no later than August 26, 2025.
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YOUR INFORMATION

* First Name

* Last Name

* Email

Mobile number

* Address

* City

State

* Zip Code

YOM KIPPUR MEMORIAL BOOK

The Memorial Book will be available online prior to Yizkor on Yom Kippur. A printed copy will be available at the Yizkor service.

Suggested contribution levels are:

$54$72$108$180$360

Other amount $:

* Remembered by:

Please select your answer below:

Please Select OneThis is the first time I/we have submitted names for inclusion in the Book. Please include my tribute as detailed below.Reprint last year’s entry with NO changes.Reprint last year’s entry WITH changes below.

First time listing, OR changes to previous listing. Please print clearly the names of loved ones (First Name then Last Name):

First Name

Last Name

First Name

Last Name

First Name

Last Name

First Name

Last Name

First Name

Last Name

First Name

Last Name

First Name

Last Name

First Name

Last Name

Note: Please provide any applicable information below.

MEMORIAL WALL

Please mark this checkbox to include your memorial plaque and payment in this form.

Please mark this checkbox to include your memorial plaque and payment in this form. You will be contacted to confirm your memorial plaque name(s)

MEMORIAL BENCH

Please mark this checkbox to include your memorial bench and payment in this form.

Please mark this checkbox to include your memorial bench and payment in this form. You will be contacted to confirm your memorial bench name(s)

Wed, August 6 2025 12 Av 5785

Beth Israel of San Diego | 9001 Towne Centre Drive | San Diego, CA 92122, USA

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