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Aliyah Notebook INFORMATION PAGE

NAME: ______________________________ PHONE NUMBER: __________________ ADDRESS: _________________________

NAMES FOR ALIYOS

Your Hebrew Name: ______________________ben______________________ Spouse (if applicable): _____________________bas______________________ Children's Hebrew name ________________________________________________

________________________________________________

________________________________________________

________________________________________________ ________________________________________________ Husband's Father ______________________ben________________________ Husband's Mother ______________________bas_________________________ Wife's Father _________________________ben ______________________

Wife's Mother ________________________bas _________________________ Other relative (please specify relationship)______________________________ __________________________ben/bas _______________________ __________________________ben/bas _______________________

MAFTIR

A. Maftirs requested for Yahrzeits ___I am interested in laining Maftir on the occasion of the Yahrzeit of one (or more) of my relatives

Maftir #1: ____________________________indicate Parasha (Torah portion) or holiday Maftir #2: ____________________________indicate Parasha (Torah portion) or holiday B. Maftirs requested for Other Occasions (for example, anniversary of your bar mitzvah, family simcha, etc.) Maftir #1: ___________________________indicate Parasha (Torah portion) or holiday Occasion: ______________________________________________ Maftir #2: ___________________________indicate Parasha (Torah portion) or holiday Occasion: _____________________________________________ C. Maftirs requested for no specific occasion ___ I would be interested in reading one or more Maftirs during the year (with at least 1 month notice)

(if yes) ____There is a specific Maftir I would like to prepare for: (please indicate) _________________________________ _____I do not have a specific Maftir in mind but will consider doing one if you give me at least a month notice

YAHRZEIT DIRECTORY

___I observe a Yahrzeit for one or more of my relatives but am not currently receiving notices from the shul when the date(s) of my Yahrzeit(s) is/are approaching. Please add the name(s) below to the shul's directory and send me such notices. English Name: __________________________________

(of deceased)

Hebrew Name: _________________ben/bas __________________

(of deceased)

Send Yahrzeit notice to (complete name & address): _________________________________________________ _________________________________________________ _________________________________________________ Hebrew Date & Year of Passing: ________________________

(If only English date & year is known, please include this date)

English Name: __________________________________

(of deceased)

Hebrew Name: _________________ben/bas __________________

(of deceased)

Send Yahrzeit notice to (complete name & address): __________________________________________________ __________________________________________________ __________________________________________________ Hebrew Date & Year of Passing: ________________________

(If only English date & year is known, please include this date)

English Name: __________________________________

(of deceased)

Hebrew Name: __________________ben/bas___________________

(of deceased)

Send Yahrzeit notice to (complete name & address): _________________________________________________ _________________________________________________ _________________________________________________

Hebrew Date & Year of Passing: ________________________

(If only English date & year is known, please include this date)

{If you have more, please add them}

Information

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Microsoft Word - Aliyah Notebook.doc