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Tu B'Shevat
Yahrzeit and Sh’loshim List
Please use this form to submit information on
yarhzeit
(anniversary of the passing of a loved one), and
sh'loshim
(passing of a loved one in the past 30 days)
.
*
Indicates required field
Contact information:
Name
*
Phone Number
*
Email
*
Street address
*
City/State/Zip
*
Name of departed:
English name
*
Hebrew name
*
Relationship of individual to you (father, mother, etc.)
*
Parents of departed (English names)
*
Parents of departed (Hebrew names)
*
Date of
passing:
Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Unknown
Day
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Unknown
Year (xxxx)
*
Enter year or "unkown"
Please indicate time of passing
*
Before sunset
After sunset
Not sure
Hebrew date, if known
*
Submit