High Holy Days - 5772 -2011

Book of Remembrance

Inscribe your loved ones in the Book of Remembrance, which will be distributed at services on Yom Kippur.  The cost for inclusion is as follows:

Single name  $18

Couple            $27

Additional donations are most welcome

Please make your checks payable to K’hilat HaAloneem, and return along with this form by September 14.

Questions?  Call Sheila at 640-8878

_________________________________________________

Your Name_________________________________________

Address__________________________________________

Phone________________ Email________________________

Names for Book of Remembrance

_______________________________________________

_______________________________________________

This year we are also inviting you to share a memory, a poem, or a few lines about each of your loved ones to be included in our book.  You may do so on the back or enclose a separate sheet of paper, making sure to indicate which writings go with which names.

Please print this form and mail it with your payment so that we get it not later than September 6.

K'hilat Ha'Aloneem

P.O. Box 172

Ojai, CA 93024