Calendar Dedications

Dear Friend,

Please support the calendar campaign allowing us to distribute it widely, strengthening Jewish identity and community.

There are several ways you can support the calendar campaign:
1. Become a Chabad Youth Sponsor - Click here for opportunies
1. Advertise your business – Click here for opportunities
2. Place your families occasions on date of occurrence, i.e. birthdays and Yartzeits ($10/dedication) Fill out form below.

Our deadline is August 15 as the calendar will be sent in time for the High Holidays!

Thank you for your participation and partnering with Chabad for a bright Jewish future,
Dedication Opportunities

Please use secular dates. Click "Convert to Jewish" on the bottom if you'd like us to use Jewish dates for birthdays. Yahrtzeits will always show on Jewish date.
Please include my family birthdays/yartzeits/anniversaries*
Same as last year?

Please put in my listings from last year only Please put in my listings from last year, PLUS the following
Full Name #1

First Name Last Name
Occasion
Occasion Date

Month Day Year
Full Name #2

First Name Last Name
Occasion
Occasion Date

Month Day Year
Full Name #3

First Name Last Name
Occasion
Occasion Date

Month Day Year
Full Name #4

First Name Last Name
Occasion
Occasion Date

Month Day Year
Full Name #5

First Name Last Name
Occasion
Occasion Date

Month Day Year
Full Name #6

First Name Last Name
Occasion
Occasion Date

Month Day Year
Please convert my birthday/s to the corresponding Jewish Date
Note: All yahrtzeit dedications will appear on the Jewish date
Additional Donation/Sponsorship

$
Contact Information
Full Name*

First Name Last Name
Phone Number

Area Code Phone Number
E-mail*
Payment Information
Total

$0.00

Payment*

Credit Card

Credit Card Type
Credit Card Number
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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