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HHD Book of Remembrance
Please verify reCaptcha before submitting the form.
If you log in before using this form, your contact info will autofill in for you AND you will be able to charge to your account. Also if you log in to fill in the form, all the data you enter will be visible to you next year so all you will have to do is update it.
Names of congregants and their relatives who have passed away since Yom Kippur 2019 will be read during the memorial (Yizkor) service and will be listed in the Book of Remembrance. The Book of Remembrance will be posted as a PDF on our website for the whole congregation to see. A limited number of hardcopy booklets will be printed. If you want a hardcopy Book of Remembrance, please check the box below.
I want a hardcopy Book of Remembrance.
I want a hardcopy Book of Remembrance.
First Name of Requester
Last Name of Requester
Email
Best one to reach you at if we have questions
Phone Number
Best one to reach you at if we have questions
Street Address
City
ZIP Code
Section 1: First, tell us about people who have died since last Yom Kippur. These should be BEHC members or relatives of members and will be read aloud during Yizkor. This is a free service for members.
Last Name
If there is usally additional information with the last name (ex: , Jr.; ,MD), please include that (Smith, MD)
First Name
Can be simple first name (Susan) or compound name (Susan Susan) or combined first names (Susan and Mark)
Date of Death
This section is only for people who have died since last Yom Kippur please
Section 2: Now, tell us about any other people you want to have listed in the Book of Remembrance.
At left is a sample layout. The remembered are listed by first name but alphabetized by last name. You may have as many remembered as you need/want. They may be in any relation to you or no relation to you. The suggested donation is
chai
($18) per name, but that is only a suggestion.
PLEASE fill in the "remembered by" box below EXACTLY the way you want it to look in the Book of Remembrance. Using this automated form means we will not be doing as much reformatting/retyping; we are counting on you to submit it as you want to see it. We thank you.
If you need more than one "remembered by" section (ex: some names remembered by you and family and some just by you or you are submitting for multiple people), please please back out of (do not complete) this form at this time and email bulletin@bethelhebrew.org to request this option be added. Please specify the total number of "remembered by" sections you need.
Note: if you want to use exactly the same information as last year, in future you will have that option; what you fill in this year will magically reappear next year IF you logged in to fill in this form. However, as this is our first year of automated forms, you do have to fill it all in this time.
How many names will you be remembering?
Please select
1
2
3
4
5
6
7
8
9
10
11
12
Nobody has ever asked for more than 12 before. If you want/need to submit more than 12, please back out of (do not complete) this form at this time and email bulletin@bethelhebrew.org to request that more name slots be added. Please specify the total number you need.
1.
Last Name
If there is usually additional information with the last name (ex: , Jr.; ,MD), please include that (Smith, MD)
First Name
Can be simple first name (Susan) or compound name (Susan Susan) or combined first names (Susan and Mark)
2.
Last Name
If there is usually additional information with the last name (ex: , Jr.; ,MD), please include that (Smith, MD)
First Name
Can be simple first name (Susan) or compound name (Susan Susan) or combined first names (Susan and Mark)
3.
Last Name
If there is usually additional information with the last name (ex: , Jr.; ,MD), please include that (Smith, MD)
First Name
Can be simple first name (Susan) or compound name (Susan Susan) or combined first names (Susan and Mark)
4.
Last Name
If there is usually additional information with the last name (ex: , Jr.; ,MD), please include that (Smith, MD)
First Name
Can be simple first name (Susan) or compound name (Susan Susan) or combined first names (Susan and Mark)
5.
Last Name
If there is usually additional information with the last name (ex: , Jr.; ,MD), please include that (Smith, MD)
First Name
Can be simple first name (Susan) or compound name (Susan Susan) or combined first names (Susan and Mark)
6.
Last Name
If there is usually additional information with the last name (ex: , Jr.; ,MD), please include that (Smith, MD)
First Name
Can be simple first name (Susan) or compound name (Susan Susan) or combined first names (Susan and Mark)
7.
Last Name
If there is usually additional information with the last name (ex: , Jr.; ,MD), please include that (Smith, MD)
First Name
Can be simple first name (Susan) or compound name (Susan Susan) or combined first names (Susan and Mark)
8.
Last Name
If there is usually additional information with the last name (ex: , Jr.; ,MD), please include that (Smith, MD)
First Name
Can be simple first name (Susan) or compound name (Susan Susan) or combined first names (Susan and Mark)
9.
Last Name
If there is usually additional information with the last name (ex: , Jr.; ,MD), please include that (Smith, MD)
First Name
Can be simple first name (Susan) or compound name (Susan Susan) or combined first names (Susan and Mark)
10.
Last Name
If there is usually additional information with the last name (ex: , Jr.; ,MD), please include that (Smith, MD)
First Name
Can be simple first name (Susan) or compound name (Susan Susan) or combined first names (Susan and Mark)
11.
Last Name
If there is usually additional information with the last name (ex: , Jr.; ,MD), please include that (Smith, MD)
First Name
Can be simple first name (Susan) or compound name (Susan Susan) or combined first names (Susan and Mark)
12.
Last Name
If there is usually additional information with the last name (ex: , Jr.; ,MD), please include that (Smith, MD)
First Name
Can be simple first name (Susan) or compound name (Susan Susan) or combined first names (Susan and Mark)
Remembered by
Exactly the way you want it to appear
Number of Names in Section 2 at $18 Each Totals
Please do the math and enter the amount above. The form will not compute it for you.
Thu, July 3 2025 7 Tammuz 5785