Yahrtzeit Reminder Program: CBI will send you a reminder prior to the date of the Yahrtzeit for the individuals you request on this form. Please enter the following information: (YOUR NAME AND E-MAIL ADDRESS IS REQUIRED) *Your Name: *Your Address: *Your E-mail Address: Name of deceased: Date of death: Name of deceased: Date of death: Name of deceased: Date of death: Name of deceased: Date of Death