Zachor - Add your listing
By completing this form you are acknowledging that your 'Remembered by' and listed names will be visible on a publicly accessible website.
The registration cost of $40 gives up to an initial 5 names. Please enter each name on a new line.
Please select how many additional names you'd like to enter. The cost of each additional name is $6.
Please enter the one extra name of your loved one to be remembered. The cost of each additional name is $6
Please add the two extra names of your loved ones to be remembered. The cost of two additional names is $12
Please add the three extra names of your loved ones. The cost of three additional names is $18
Please add the four extra names of your loved ones. The cost of four additional names is $24
Please enter the five extra names of your loved ones to be remembered. The cost of five additional names is $30.
Please enter the six extra names of your loved ones to be remembered. The cost of six additional names is $36
Please enter the extra seven names of your loved one to be remembered. The cost of seven additional names is $42
Please enter the extra eight names of your loved one to be remembered. The cost of seven additional names is $48
Please enter the extra nine names of your loved one to be remembered. The cost of seven additional names is $48
Please enter the ten or more extra names of your loved one to be remembered. The cost of ten or more additional name is $60
Entries are listed under the first surname of the families remembering them. If you'd like to have your entry displayed under a different surname, please insert the surname into this field.
Please enter your given name.
Please enter your surname
If you'd like to receive a copy of the printed book in the mail, please compete your address information below:
You can sponsor the congregational book which will be put in the Ark (one sponsorship only on a first-come basis). Sponsorship is $150.00. Please select the congregation in the select box below if you wish to be contacted about this option.
Fields marked with a star have to be filled in!