Scroll of Remembrance

Note: This form is for any new names you'd like to add to your Scroll of Remembrance.
All names from past years will carry over into the current year.

Member Information

* Member 1: First Name

* Member 1: Last Name

* Member 1: Email

Member 2: First Name

Member 2: Last Name

Member 2: Email

Scroll of Remembrance
Memorialize your loved ones each year in the VBS Yizkor book.

Would you like to add a loved one to the Scroll of Remembrance?
Please note: All names from past years carry over into the current year. You only need to add NEW names from this past year.

Scroll of Remembrance ($36 Per Name)

Name to Remember (First & Last):

Payment

Payment Options:
*ACH (e-check) - No processing fees; can be used to pay in full, or in installments. CLICK HERE to access instructions for how to add an ACH/e-check to your account.

*Credit Card - A 3% processing fee will be assessed for all credit card charges. To eliminate this fee, please select ACH/eCheck as your payment option. We are unable to waive credit card processing fees.

TOTAL:
A processing fee of 3% will be assessed for all payments made by credit card. We are unable to waive credit card processing fees. Payments made by ACH (eCheck) do NOT incur any additional fees.

Sun, August 3 2025 9 Av 5785