We are no longer accepting submissions as we go to print. Contact us to see about inclusion in future booklets. This year, we will be using a brand new beautiful design in full color, with each set of names in an individual box. This form allows you to submit multiple names. All names of people who have plaques on the Memorial Board, will be read by the Rabbi at each yizkor service. If your loved one is on the memorial board and you would like to include them in the book, there is a special rate per person. Please fill in the information below regardless, so we can ensure correct listings. Please click here for information on obtaining a perpetual plaque on our Memorial Board. Submissions are due by Tuesday, August 11, 2026. Full Name* First Name Last Name Phone Number E-mail* Please include the information I submitted last year. (You will receive an email confirming this)I would like to include the names of my family from the Memorial Board. (Please contact us if you need to confirm the names on the board)I will not be including the names of my family from the Memorial Board for this year Number of listings:* $18/listing Number of listings last year:* $18/listing Number of listings from the Memorial Board:* $5/listing Number of additional listings: $18/listing YAHRZEIT INFORMATION LISTING 1: Listing 1: Civil Name, Hebrew Name, Mother's Hebrew Name, Date of Passing Civil Name:* Hebrew Name: Mother's Hebrew Name: Last Name:* Relationship: Date of Passing:* Month Day Year LISTING 2: Listing 2: Civil Name, Hebrew Name, Mother's Hebrew Name, Date of Passing Civil Name: Hebrew Name: Mother's Hebrew Name: Last Name: Relationship: Date of Passing: Month Day Year LISTING 3: Listing 3: Civil Name, Hebrew Name, Mother's Hebrew Name, Date of Passing Civil Name: Hebrew Name: Mother's Hebrew Name: Last Name: Relationship: Date of Passing: Month Day Year Listing 4: Civil Name, Hebrew Name, Mother's Hebrew Name, Date of Passing LISTING 4: Civil Name: Hebrew Name: Mother's Hebrew Name: Last Name: Relationship: Date of Passing: Month Day Year Please use field below for any relevant notes: Total $0.00 Payment Credit Card Check/Cash/Zelle Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearPlease make checks payable to Chabad of Rancho Mirage and mail or deliver to:Chabad of Rancho Mirage72295 Via MartaRancho Mirage, CA 92270By Zelle:Send payments to: [email protected]Billing Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country I would like to receive news and updates by email Submit Clear Form Should be Empty: This page uses TLS encryption to keep your data secure.
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