Update Yartzheit Info

All fields are required.

    Last Name (of Individual being remembered):

    First Name (of Individual being remembered):

    Date of death (YYYY-MM-DD):

    Before Sundown?:
    YesNo

    MHJC Member's Name:

    How is this person related to you?

    Are you interested in having a memorial plaque placed in the sanctuary?:
    YesNo

    Your Email

    Your Phone Number