This year we have the opportunity to Honor the Memory of our Loved Ones during the High Holy Days.

A memorial Booklet will be published listing the names of your loved ones for a Contribution of $18.00 per name. Please complete the following form, enclose your check for the correct amount made out to Temple Sha-lom and send it to Temple Shalom, PO Box 51034 Myrtle Beach, SC 29579

Names to be listed -and English Date

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Remembered By

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(YOUR NAME)

Should you need additional room, please attach the information to this form.

DEADLINE AUGUST 12 DEADLINE AUGUST 12

If you