Complete this form to add names to the Yizkhor prayers list at Chabad Dingley. Your Name* First Name Last Name E-mail* Name of your loved one* e.g. Devorah bat Sara Name and mother's name (or father's name for those with the custom to use the father's name) Date of Passing Optional Day Month Year Optional Contribution You may choose to include an optional contribution in memory of your loved one. Amount (Optional) $ AUD Payment method Credit Card Bank Transfer Credit Card We accept Visa, MasterCard, American Express Credit Card Number 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 Expiration Year Direct bank details: Chabad SEM Benevolent Inc BSB: 033-180 Account: 346340 Submit Should be Empty: This page uses TLS encryption to keep your data secure.