" Ohr Torah Mishabeirach Information for New Entry
Warning: Use this window ONLY if this is the first time that you are entering data into this system; otherwise you must signin with your previously-used user id and password

Note: All fields with * are required

Notes:	to enter Hebrew characters in a field, click the icon to the right of the field;
	to delete an existing Family Member, set the English Name field to blank; to delete an existing Yahrzeit, set the Hebrew Name field to blank and click the Update button

Membership Type *

Full/Family	$1050.00
Full/Single	$650.00
Associate	$250.00	Name of shul where you are a full member (required for Associate)
Senior Citizen/Couple	$650.00
Senior Citizen/Single	$325.00

Family Name *
Street Address *
City *		State *		Zip *
Home Telephone *		Husband's Number		Wife's Number

E-mail address *

This will become your sign-in user id

Password *

Use this password with your e-mail address to sign in and update your dataShow Password

Family Member	Title	English Name	Hebrew Name, Include Father	Date of Birth	Tribe			Bar Mitzva Parsha
				click box to view calender
HusbandWifeParentSonSon-in-LawDaughterDaughter-in-LawGrandchildGrandson-in-LawGranddaughter-in-LawGreat Grandchild	Mr. Mrs. Ms. Dr. Hon. Rabbi				Kohen	Levi	Israel
HusbandWifeParentSonSon-in-LawDaughterDaughter-in-LawGrandchildGrandson-in-LawGranddaughter-in-LawGreat Grandchild	Mr. Mrs. Ms. Dr. Hon. Rabbi				Kohen	Levi	Israel
HusbandWifeParentSonSon-in-LawDaughterDaughter-in-LawGrandchildGrandson-in-LawGranddaughter-in-LawGreat Grandchild	Mr. Mrs. Ms. Dr. Hon. Rabbi				Kohen	Levi	Israel
HusbandWifeParentSonSon-in-LawDaughterDaughter-in-LawGrandchildGrandson-in-LawGranddaughter-in-LawGreat Grandchild	Mr. Mrs. Ms. Dr. Hon. Rabbi				Kohen	Levi	Israel
HusbandWifeParentSonSon-in-LawDaughterDaughter-in-LawGrandchildGrandson-in-LawGranddaughter-in-LawGreat Grandchild	Mr. Mrs. Ms. Dr. Hon. Rabbi				Kohen	Levi	Israel
HusbandWifeParentSonSon-in-LawDaughterDaughter-in-LawGrandchildGrandson-in-LawGranddaughter-in-LawGreat Grandchild	Mr. Mrs. Ms. Dr. Hon. Rabbi				Kohen	Levi	Israel
HusbandWifeParentSonSon-in-LawDaughterDaughter-in-LawGrandchildGrandson-in-LawGranddaughter-in-LawGreat Grandchild	Mr. Mrs. Ms. Dr. Hon. Rabbi				Kohen	Levi	Israel

Yahrzeits

Hebrew Date	Hebrew Name	Whose Relative	Relationship
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Tishrei Cheshvan Kislev Tevet Shevat Adar I Adar II Nisan Iyar Sivan Tammuz Av Elul			Father Mother Brother Sister Husband Wife Son Daughter GrandfatherGrandmother Stepmother Stepfather

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