We are again publishing a Book of Remembrance that will be provided at Rosh Hashanah & Yom Kippur services. To include the names of your loved ones in this book, please respond in writing now. The deadline for receiving names is September 1, 2006.

NAMES RECEIVED AFTER SEPTEMBER 1st, ARE NOT GUARANTEED A PLACE IN THE BOOK OF REMEMBRANCE!

The cost is $10.00 for each first four (4) names listed and $7.00 for each additional name. For example, 6 names would be, $40.00 (four at $10.00) + $14.00 (two at $7.00) = $54. We will accept only written orders with checks. PLEASE DO NOT ASK TO BE BILLED.

Please send your written order and check by September 1, 2006 to:

CONGREGATION AHAVATH ACHIM

3225 SW Barbur Blvd.

Portland, OR 97239

PLEASE INSCRIBE THE FOLLOWING NAMES OF MY DEPARTED ONES IN THE 2006-2007 BOOK OF REMEMBRANCE:

Please print for easier reading and less chance of error. Make sure to include their Hebrew name.

NAME: (please print) HEBREW NAME:

1.___________________________________________________________________________

2.___________________________________________________________________________

3.___________________________________________________________________________

4.___________________________________________________________________________

5.___________________________________________________________________________

6.___________________________________________________________________________

7.___________________________________________________________________________

8.___________________________________________________________________________

9.___________________________________________________________________________

10.__________________________________________________________________________

If additional space is needed, please attach a sheet. Be sure to indicate by whom the memorial is offered and your address and telephone #.

MEMORIAL OFFERED BY: ____________________________________________________

ADDRESS: ___________________________________________________________________

CITY: ____________________________ STATE: ___________ ZIP: ____________________

HOME PHONE: (____)______________________

My Payment is enclosed:

First four (4) names ________ x $10.00 each = ________________

Additional names__________ x $7.00 each = __________________ TOTAL $___________