Dedicate a Date - jewishlexington.com

Dedicate a Date to be seen in the calender for a special event such as a birthday, anniversary, or Yarzheit.

It is 50$ per dedication. You can dedicate up to 5 dates at once.
Amount of dates you would like to dedicate
Full Name 1
First Name Last Name
Month (Hebrew/English)
Day (Hebrew/English)
Occasion
Full Name 2
First Name Last Name
Month (Hebrew/English)
Day (Hebrew/English)
Occasion
Full Name 3
First Name Last Name
Month (Hebrew/English)
Day (Hebrew/English)
Occasion
Full Name 4
First Name Last Name
Month (Hebrew/English)
Day (Hebrew/English)
Occasion
Full Name 5
First Name Last Name
Month (Hebrew/English)
Day (Hebrew/English)
Occasion
Total

$0.00
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We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

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City

State / Province

Postal / Zip Code

Country

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