Dedicate our new Lev Shalem Siddurim

Contact/Billing Information

* First Name

* Last Name

Preferred Name (if applicable)

Preferred Pronouns

* Email

* Phone

* Address

* City

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* ZIP

Dedicate a new Lev Shalem Prayer Book
$65 per dedication

Number of Dedications

Dedication #1

Name(s) of the person/people being honored or memorialized

Dedicated by

Relationship

Dedication #2

Name(s) of the person/people being honored or memorialized

Dedicated by

Relationship

Dedication #3

Name(s) of the person/people being honored or memorialized

Dedicated by

Relationship

Dedication #4

Name(s) of the person/people being honored or memorialized

Dedicated by

Relationship

Additional Comments

Total

Wed, January 29 2025
29 Tevet 5785

Wed, January 29 2025 29 Tevet 5785

CONGREGATION KOL AMI
2425 East Heritage Way, Salt Lake City, Utah 84109
PHONE 801-484-1501 • FAX 801-484-1162 • info@conkolami.org