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Rav Dovid Shustal, shli"ta
KADDISH APPLICATION FORM
-
In Loving Memory of Your Loved One.
Printable Version
*
Indicates required field
APPLICANT INFORMATION
Title
*
Mr.
Rabbi
Dr.
Mrs.
Miss
Ms.
Name
*
First
Last
Phone Number
*
Email Address:
*
I Would Like to Receive:
*
Weekly Kollel E-Mail
Periodic Mailings to Home
Address
*
Line 1
Line 2
City
State
Zip Code
Country
DECEASED INFORMATION
Formal Name
*
Hebrew Name (If Known)
*
Feel free to write in English or Hebrew letters.
Relationship to Applicant
*
Date of Death (MM / DD / YYYY)
*
AM/PM
*
Choose One
AM
PM
Uknown
KADDISH & DONATION OPTIONS
Please select from the available options below.
These contributions help sustain our sacred services:
🔹 DAILY KADDISH RECITATION (First Year)
Choose One
*
$360 – Kaddish recited once daily
$1,000 – Kaddish recited three times daily
🔹 PERPETUAL KADDISH (Yahrzeit Only)
Kaddish recited annually on the Yahrzeit in perpituity
*
$500 – Kaddish recited annually on the Yahrzeit
🔹 AMUD HAYOM / PILLAR OF THE DAY
Dedicate all the learning at the Kollel for an entire day. This sponsorship is a significant way to commemorate a Yahrtzeit by covering Kollel personnel expenses. An email will be sent to our listserv to inform the community of the dedication.
Choose Any
*
$1,800 – Dedicate a Day of Learning at the Kollel on the Yahrtzeit.
🔹 MEMORIAL PLAQUE INSTALLATION
Choose Any
*
$5,000 – Memorial glass plaque installed in our lobby, A lasting tribute displayed year-round and on the Yahrzeit date
Suggestions and Comments
*
🔗 CONTACT FOR LEGACY GIVING -
To discuss
Planned Giving
,
Charitable Trusts
,
Endowments
,
Bequests
,
Wills
,
Charitable Gift Annuities
, or similar matters, please contact:
Rabbi Yoel D. Zeffren, Associate Rosh Kollel,
📧
[email protected]
PAYMENT INFORMATION
Total for Kaddish & Dedications
*
I would like to make an additional donation of:
*
I will send payment via:
*
Check
Zelle (
[email protected]
)
Credit Card (link below)
Donor Advised Fund (List in comments box)
Please contact me to arrange
DISCLAIMER:
A Kollel Rabbi may be reciting Kaddish on behalf of multiple individuals simultaneously, depending on the number of requests received. While the designee will make every effort not to miss a day, there may be unusual instances where unforeseen circumstances arise.
Thank you for understanding and for trusting us with this sacred responsibility.
For other sponsorship opportunities, please visit:
🌐
https://www.phillykollel.org/sponsorship-opportunities.html
Submit
Payment and Credit Card Options