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.
If you have more loved ones to be remembered, please add up to 4 additional names in the space below, each one on a separate line. The cost of adding up to 4 names is $20.
You can also add additional names singly. The cost of each additional entry is $6
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:
Fields marked with a star have to be filled in!