Information about the Deceased

Information about the Deceased:

Please complete this form to the best of your knowledge.

Title of Deceased *

First Name of Deceased *

Last Name of Deceased *

Relationship of deceased to sponsor

Hebrew Name

Hebrew First Name(s) of Deceased

ben (son of) / bas (daughter of) *

ben (son of)

bas (daughter of)

Hebrew Father's Name(s) of Deceased

(if of Sephardic descent, Mother's name[s])

Please select if applicable

This Kaddish recital is for a *

Select Hebrew or English date of passing

Select Hebrew or English date of burial

Hebrew Date of passing

Hebrew Date of burial

To Be Completed By:

Rush rates apply for shloshim/yahrtzeit requests placed less than 12 days before the designated date. Completion of shloshim/yahrtzeit learning cannot be guaranteed for requests made with less than two full days’ notice. Chevrah Lomdei Mishnah will contact you to apprise you of the feasibility of your request.

Rush rates apply for Tehillim requests placed less than 12 days before the designated date. Completion is not guaranteed for Tehillim requests made with less than two full days’ notice. Chevrah Lomdei Mishnah will contact you to apprise you of the feasibility of your request.

Rush rates apply for Kaddish requests placed less than 12 days before the designated date. Kaddish recital cannot be guaranteed for requests made with less than two full days’ notice. Chevrah Lomdei Mishnah will contact you to apprise you of the feasibility of your request.

Select Date *

Hebrew Date

Your requested date of completion is in less than twelve days from today. As per our rush rate policy, the price has been increased to 1.5x the regular contribution rate.

Your requested date of completion is within a week from today. As per our rush rate policy, the price has been increased to 2x the regular contribution rate.

Mishnah requests within one day cannot be guaranteed. Please contact us directly to place your order at (732) 364-7029 or choose a different date for completion.

Rush Rate

Price increased to 1.5x contribution amount

False

Rush Rate

Price increased to 2x contribution amount

False

Kaddish Recital

Please Recite for me:

Information about the Deceased:

To Be Completed By:

Powerful Words of Inspiration From Rabbi Yissocher Frand

ALIYAS NESHAMAH

NICHUM AVEILIM

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RESOURCES

CHEVRAH LOMDEI MISHNAH

ALIYAS NESHAMAH

NICHUM AVEILIM

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RESOURCES

CHEVRAH LOMDEI MISHNAH

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Powerful Words of Inspiration
From Rabbi Yissocher Frand