Funeral Form - ChabadOrange.com

Chabad is here to guide you and support you every step of the way for your life-cycle events.

Contact Rabbi Pesach at 845-782-2770 to discuss funeral arrangements and to discuss end-of-life decisions.

Fill our this form if you'd like Rabbi Pesach to officiate at a funeral for a loved one.
Your Full Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Name of Deceased*
Hebrew Name of Deceased* Also add names of the parents
Date and Time of Passing

Month Day Year
at Hour Minutes
Location of Funeral*
Rabbi's Honorarium

Rabbi Pesach does not have a set fee for officiating a funeral. An honorarium of $650-$1000 is suggested. ($650+ for local funerals in Orange/Rockland, $850+ for funerals held in further-distance locations). Checks can be made to Rabbi Pesach Burston or sent via Zelle to [email protected].

Memorial Donation to Chabad

In addition to the Rabbi's Honorarium, a donation to Chabad in memory of the deceased is suggested. (See below).

Funeral Financial Assistance

For financial assistance or payment plans, contact our office at 845-782-2770.
I have read the above, and agree to give an honorarium in the amount of:*
Memorial Donation to Chabad (Optional)

$180$360$540$1000$1800$3600
Donation Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Donation Method

Credit Card

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

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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