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Yahrtzeit Calendar

Please fill out the following information. You will receive three (3) laminated yahrzeit calendars within the next few weeks.

Your Information:
Name:
E-Mail:
Address:
City:
State:
Zip:
Home Phone:
 
Name of Loved One:
Date of Death:
Was Death Before or After Sunset:
Before Sunset  After Sunset
Place (City) of Death:
# of Copies Needed:
(unless specified, 3 will be provided)
For security purposes, please enter the number of seconds there are in a minute:

 

 

 

 
     

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