Yizkor Booklet Submission Form – Agudas Israel Congregation

1. Family Name/ Listing Title

Phone

2. Names & relationships of your loved ones as you would like them printed: The suggested donation is $7 per name memorialized.

3. Will you be attending High Holiday services in person at AIC?

Rosh Hashanah: Sept 22-24 2025

Yom Kippur: Oct 1-2, 2025

4. Would you like a paper copy of the booklet mailed? A digital version will be sent out to all participants.

Mail a Paper copy to the address below

I only need a digital copy sent to the email address above.

5. Mailing address for Paper copy if selected