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$j(function(){
window.multiplier = 0;
window.formJson = Object.extend([{"form_height":492,"3_text":"Image","3_message":"","3_src":"https://w2.chabad.org/media/images/1096/KvSz10965020.jpg","3_link":"","3_target":"_blank","3_height":259.35,"3_width":665,"3_align":"Left","3_description":"","3_name":"image","3_qid":3,"3_type":"control_image","3_order":1,"4_text":"Yizkor Name Submission","4_subHeader":"","4_headerType":"Default","4_name":"clickTo","4_qid":4,"4_type":"control_head","4_order":2,"1_text":"\u003cdiv\u003e\u003cspan\u003e\u003cstrong\u003eYizkor, \u003c/strong\u003eto honor the memory of our dearly departed loved ones, will be recited on Yom Kippur (Monday, September 21st, 2026.)\u003c/span\u003e\u003c/div\u003e\n\n\u003cdiv\u003e\u003cspan\u003e\u003cstrong\u003eIf you will not be attending Shul, I am volunteering to serve as your proxy in offering the\u0026nbsp;Holiday Yizkor\u0026nbsp;prayer for your loved ones\u0026nbsp;in our shul\u0026nbsp;\u0026ndash; while clutching the Torah \u0026ndash; on your behalf.\u003c/strong\u003e\u003c/span\u003e\u003c/div\u003e\n\n\u003cdiv\u003e\u003cspan\u003e\u003cstrong\u003ePlease complete\u0026nbsp;the form\u003c/strong\u003e\u0026nbsp;with the names of your loved ones and their mother\u0026rsquo;s names. I will mention them at\u0026nbsp;Yizkor\u0026nbsp;time in our shul, as I pray to be worthy of the awesome task with which I will have been entrusted. (It is recommended that you should say the appropriate Yizkor paragraphs at home as well.\u0026nbsp;\u0026nbsp;\u003ca href=\"https://www.chabadone.org/Article.asp?AID=371509\"\u003eClick HERE to print out the Yizkor prayers in advance of the Holiday.\u003c/a\u003e)\u003c/span\u003e\u003c/div\u003e\n\n\u003cdiv\u003e\u003cem\u003e\u003cstrong\u003eRabbi Levi Klein\u0026nbsp;\u003c/strong\u003e\u003c/em\u003e\u003c/div\u003e\n","1_name":"doubleclickTo","1_qid":1,"1_type":"control_text","1_order":3,"6_text":"Full Name","6_message":"","6_labelAlign":"Auto","6_required":"Yes","6_prefix":"No","6_suffix":"No","6_middle":"No","6_description":"","6_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"6_readonly":"No","6_name":"fullName","6_qid":6,"6_type":"control_fullname","6_order":4,"7_receivesReceipts":"No","7_text":"E-mail","7_message":"","7_labelAlign":"Auto","7_required":"Yes","7_size":30,"7_validation":"Email","7_maxsize":"","7_defaultValue":"","7_subLabel":"","7_hint":"ex: myname@example.com","7_description":"","7_confirmation":"No","7_confirmationHint":"Confirm Email","7_readonly":"No","7_name":"email","7_qid":7,"7_type":"control_email","7_order":5,"9_text":"Names of people to say Yizkor for","9_message":"","9_labelAlign":"Auto","9_required":"No","9_cols":40,"9_rows":6,"9_validation":"None","9_entryLimit":"None-0","9_maxsize":"","9_defaultValue":"","9_subLabel":"If known, please include Hebrew name and father\u0027s hebrew name","9_hint":"","9_description":"","9_readonly":"No","9_wysiwyg":"Disable","9_name":"input9","9_qid":9,"9_type":"control_textarea","9_order":6,"10_text":"Comments","10_message":"","10_labelAlign":"Auto","10_required":"No","10_cols":40,"10_rows":6,"10_validation":"None","10_entryLimit":"None-0","10_maxsize":"","10_defaultValue":"","10_subLabel":"","10_hint":"","10_description":"","10_readonly":"No","10_wysiwyg":"Disable","10_name":"input10","10_qid":10,"10_type":"control_textarea","10_order":7,"12_text":"\u003cp\u003eAs it is customary to give\u0026#160;\u003ca href=\"https://link.jewishmemphis.com/go.asp?li=83003FE14129D14D9EAEED19349009C8\u0026amp;ui=7328432789624A0E08251822786E8E5A\" target=\"_blank\"\u003e\u003cem\u003eTzedakah\u003c/em\u003e\u003c/a\u003e\u0026#160;in conjunction with\u0026#160;\u003ci\u003eYizkor,\u003c/i\u003e\u0026#160;your charity at this time will be used to help local Chabad activities and those suffering terribly from the economic shutdown. You can\u0026#160;make your generous contribution below. Please know, however, that a donation is not required for the submission of names as described above.\u003c/p\u003e","12_name":"doubleclickTo12","12_qid":12,"12_type":"control_text","12_order":8,"11_text":"I\u0027d like to donate to Chabad in memory of my loved ones","11_message":"","11_labelAlign":"Auto","11_required":"No","11_options":"36|50|75|100|180|300|500|1000","11_special":"None","11_allowOther":"Yes","11_otherText":"Other","11_selected":"","11_spreadCols":"3","11_description":"","11_mode":"radio_buttons","11_name":"input11","11_qid":11,"11_type":"control_amount","11_order":9,"13_text":"Payment","13_message":"","13_labelAlign":"Auto","13_required":"No","13_duplicatable":false,"13_selectedCountry":"","13_description":"","13_sublabels":{"cc_firstName":"First Name","cc_lastName":"Last Name","cc_type":"Credit Card Type","cc_number":"Credit Card Number","cc_ccv":"Security Code","cc_nameOnCard":"Name on Card","cc_IdNumber":"Israel Identity Number","cc_exp_month":"Expiration Month","cc_exp_year":"Expiration Year","eCheck_bankName":"Bank Name","eCheck_routingNumber":"Routing Number","eCheck_accountNumber":"Account Number","eCheck_accountType":"Account Type","addr_line1":"Street Address","addr_line2":"Street Address Line 2","city":"City","state":"State / Province","postal":"Postal / Zip Code","country":"Country"},"13_name":"payment","13_qid":13,"13_type":"control_payform","13_order":10,"13_options":{"currency":"default","creditCard":{"value":"Credit Card","enabled":true,"fields":[{"name":"ccv","value":"CCV","enabled":true},{"name":"nameOnCard","value":"Name on Card","enabled":true},{"name":"billingAddress","value":"Billing Address","enabled":true},{"name":"israelIdentityNumber","value":"Israel Identity Number","enabled":true}],"processorIndex":0,"type":[{"name":"Visa","value":"Visa","enabled":true},{"name":"Mastercard","value":"MasterCard","enabled":true},{"name":"Amex","value":"American Express","enabled":true},{"name":"Discover","value":"Discover","enabled":true},{"name":"Isracard","value":"Isracard","enabled":false}],"payMe":false},"paypal":{"value":"Paypal","enabled":false,"processorIndex":null},"eCheck":{"value":"eCheck","enabled":false},"other":{"value":"Other","enabled":true,"altText":"I will mail a check","message":""}},"8_text":"Optin","8_labelAlign":"Auto","8_description":"","8_required":"No","8_list":"-1","8_duplicatable":false,"8_name":"optin","8_qid":8,"8_type":"control_optin","8_order":11,"2_text":"Submit","2_buttonAlign":"Auto","2_clear":"No","2_print":"No","2_name":"submit","2_qid":2,"2_type":"control_button","2_order":12,"form_title":"Yizkor Name Submission","form_pagetitle":"Form","form_styles":"nova","form_font":"","form_fontsize":"14","form_fontcolor":"","form_optioncolor":"","form_lineSpacing":"12","form_background":"","form_formWidth":"685","form_labelWidth":"150","form_alignment":"Left","form_thankurl":"","form_thanktext":"","form_highlightLine":"Enabled","form_activeRedirect":"default","form_sendpostdata":"No","form_unique":"None","form_uniqueField":"\u003cField Id\u003e","form_status":"Enabled","form_injectCSS":"","form_hideMailEmptyFields":"disable","form_showProgressBar":"disable","form_formStrings":[{"alphabetic":"This field can only contain letters","alphanumeric":"This field can only contain letters and numbers.","confirmClearForm":"Are you sure you want to clear the form?","confirmEmail":"E-mail does not match","email":"Enter a valid e-mail address","generalError":"There are errors on the form. 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<form class="userform-form" action="" method="post" name="form_5226109" id="5226109" accept-charset="utf-8"><input type="hidden" name="formID" value="5226109" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_3"><div id="cid_3" class="form-input-wide"> <img alt="" class="form-image" border="0" src="https://w2.chabad.org/media/images/1096/KvSz10965020.jpg" height="259.35" width="665" /> </div></li><li id="cid_4" class="form-input-wide"> <div class="form-header-group"><h2 id="header_4" class="form-header">Yizkor Name Submission</h2></div> </li><li class="form-line" id="id_1"><div id="cid_1" class="form-input-wide"> <div id="text_1" class="form-html"><div><span><strong>Yizkor, </strong>to honor the memory of our dearly departed loved ones, will be recited on Yom Kippur (Monday, September 21st, 2026.)</span></div>

<div><span><strong>If you will not be attending Shul, I am volunteering to serve as your proxy in offering the Holiday Yizkor prayer for your loved ones in our shul – while clutching the Torah – on your behalf.</strong></span></div>

<div><span><strong>Please complete the form</strong> with the names of your loved ones and their mother’s names. I will mention them at Yizkor time in our shul, as I pray to be worthy of the awesome task with which I will have been entrusted. (It is recommended that you should say the appropriate Yizkor paragraphs at home as well.  <a href="https://www.chabadone.org/Article.asp?AID=371509">Click HERE to print out the Yizkor prayers in advance of the Holiday.</a>)</span></div>

<div><em><strong>Rabbi Levi Klein </strong></em></div>
</div> </div></li><li class="form-line" id="id_6"><div class="form-label-left" id="label_6"><label for="input_6"> Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_6"> </label></div><div id="cid_6" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q6_fullName[first]" id="first_6" autocomplete="given-name" />  <label class="form-sub-label" for="first_6" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q6_fullName[last]" id="last_6" autocomplete="family-name" />  <label class="form-sub-label" for="last_6" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_7"><div class="form-label-left" id="label_7"><label for="input_7"> E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_7"> </label></div><div id="cid_7" class="form-input"> <input type="email" class=" form-textbox validate[required, Email]" id="input_7" name="q7_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_9"><div class="form-label-left" id="label_9"><label for="input_9"> Names of people to say Yizkor for </label><label class="label-message" for="input_9"> </label></div><div id="cid_9" class="form-input"> <span class="form-sub-label-container"><textarea id="input_9" class="form-textarea" name="q9_input9" cols="40" rows="6"></textarea>  <label class="form-sub-label" for="input_9">If known, please include Hebrew name and father's hebrew name</label></span> </div></li><li class="form-line" id="id_10"><div class="form-label-left" id="label_10"><label for="input_10"> Comments </label><label class="label-message" for="input_10"> </label></div><div id="cid_10" class="form-input"> <textarea id="input_10" class="form-textarea" name="q10_input10" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_12"><div id="cid_12" class="form-input-wide"> <div id="text_12" class="form-html"><p>As it is customary to give <a href="https://link.jewishmemphis.com/go.asp?li=83003FE14129D14D9EAEED19349009C8&amp;ui=7328432789624A0E08251822786E8E5A" target="_blank"><em>Tzedakah</em></a> in conjunction with <i>Yizkor,</i> your charity at this time will be used to help local Chabad activities and those suffering terribly from the economic shutdown. You can make your generous contribution below. Please know, however, that a donation is not required for the submission of names as described above.</p></div> </div></li><li class="form-line" id="id_11"><div class="form-label-left" id="label_11"><label for="input_11"> I'd like to donate to Chabad in memory of my loved ones </label><label class="label-message" for="input_11"> </label></div><div id="cid_11" class="form-input"> <div class="form-multiple-column" data-columns="3"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_11_0" name="q11_input11" value="36" /><label for="input_11_0"><span>$36</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_11_1" name="q11_input11" value="50" /><label for="input_11_1"><span>$50</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_11_2" name="q11_input11" value="75" /><label for="input_11_2"><span>$75</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_11_3" name="q11_input11" value="100" /><label for="input_11_3"><span>$100</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_11_4" name="q11_input11" value="180" /><label for="input_11_4"><span>$180</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_11_5" name="q11_input11" value="300" /><label for="input_11_5"><span>$300</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_11_6" name="q11_input11" value="500" /><label for="input_11_6"><span>$500</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_11_7" 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