Book of Remembrance Form 2022 (5783) - Form - B'nai Jehudah

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Book of Remembrance Form 2022 (5783)

Book of Remembrance Form
Our Book of Remembrance this year we will be available all year long as a PDF on our website.
Hard copies may be requested from the office.

There will also be an opportunity to honor your loved ones during our High Holy Day Yizkor Service on Yom Kippur by submitting a name and one picture for each of your loved ones which will be displayed during our service.

Pictures will not be included in the Book of Remembrance online or printed.
If you have any questions about the process,
please contact Jean Osbourn at email or call, 913-378-1262.

Click Here to view the 2021 Book of Remembrance

Members can bill their account when submitting this form all others will be required to pay in full at submission. If you are logged-in, the name fields below will automatically fill; if they are blank please take a moment to log into your ShulCloud account.

* First Name

* Last Name

* Email Address

* Phone Number

Please select an option:

$18.00 per listing is recommended for your BOR donation, but if multiple photographs are being submitted we ask you to include an additional $18.00.

How many Listings do you have?

Note: a listing is either a single name or a couple (i.e. Jean Osbourn; Jean & Greg Osbourn)

* Please select one

Please Select OneKeep my listing the same as last yearDonation Only (no listing)Use only the names included here (changing or deleting from last year)Please add these name to my listing from last yearNew listing (no listing last year)

Listing Format

Single Listing Group (One Remembered By)Multiple Listing Groups (More than One Remembered By)Note: if the "Remembered by" line is to be different for one or more individual name, please select the Multiple listing groups option.

Remembered By

This is exactly how you would like the "Remembered by" for these listings to read.

1) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

2) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

3) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

4) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

5) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

6) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

7) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

8) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

9) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

10) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

11) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

12) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

13) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

14) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

15) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

16) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

17) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

18) Name of Loved One(s):

We will use this exact spelling; Please double check it.

Unique Remembered By

Unique Remembered Byoptional

Remembered By

Only fill this in if you have more than one grouping of names requiring more than one "remembered by"

Loved One's Photo(s):

optional-please change name of file to match loved one's name

Names of the pictures attached

Please list the names of the person in each picture you submit in the same order that you attached them.

Donation Amount

Please enter the amount that you will be donating to the 2022 Book of Remembrance (no listing included).

Donation Amount

Please enter the amount that you will be donating to the 2022 Book of Remembrance.
Remember that we recommend $18 per listing and request that you add a minimum of $18 if you are including more than a couple of pictures for the virtual Yizkor Memorial Service presentation.

Fri, August 12 2022 15 Av 5782