Book of Remembrance

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Temple B'rith Kodesh

Book of Remembrance

High Holy Days 2022 / 5783

You can now submit names for the 2022/5783 Book of Remembrance online.
Or download the form by clicking here and mail by August 10

First Name

Last Name

E-mail address:

Phone number:

Remembered By
Please enter your name or names as you wish them to appear in the Book of Remembrance

In Loving Memory of
Enter the first and last name of each person you want listed on a separate line. DO NOT use titles (such as Mr./Mrs./Dr.), they will not appear in the booklet.

Donation: $36 for up to four names

Name #1

Name #2

Name #3

Name #4

Each additional listing beyond four names is $6

Name #5

Name #6

Name #7

Name #8

Name #9

Name #10

For more than ten names contact Lisa Buchholz at (585) 244-7060 or lbuchholz@tbk.org

Donation Amount
$36 for up to 4 names
$42 for 5 names
$48 for 6 names
$54 for 7 names
$60 for 8 names
$66 for 9 names
$72 for 10 names

Payment Method:

Charge the amount to the charge card on file with TBKPay by check (mail check payable to Temple B'rith Kodesh)Charge the amount to my credit card using the information below

Name on credit card:

Credit Card Number:

Expiration Date (month/year)

CVV Code:

If you are not a TBK member, please enter your address, city/town, zip code below

Questions? Email lbuchholz@tbk.org or call (585) 244-7060

Thu, August 11 2022
14 Av 5782

Quick Links

Thu, August 11 2022 14 Av 5782

Book of Remembrance