Name: Kabbalah Experience Intro Classes
Start: 2026-07-07T10:30:00-06:00
End: 2026-07-07T14:00:00-06:00

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Contact Information
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Email*
Deceased Information
Full name of deceased
First Last
Date of death
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Place (city) of death
Date of service(s)
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Funeral home
Rabbi(s)/Cantor officiating at service(s)
Place of service(s) and burial
Date of birth
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Place of birth
Residences throughout life (city & state)
Date of marriage(s) – name of spouse (first & last; maiden if appropriate)
Date of spouse’s death (if appropriate)
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Education (high school and/or universities attended or graduated)
Profession or career (including name of companies, etc.)
Military service – branch and war, year(s) served
Organizations and awards
Date of retirement (if appropriate)
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Name and date of child’s death (if appropriate)
Names of survivors
These are limited to current spouse and blood relatives. Please include place of residence of survivors.
Please list names & addresses of family you wish an additional copy sent to
Memorial contributions (incl. address if appropriate). Limit two.
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