Memorial Scrolls Trust Survey 2014

Please help us to update our records:

Czech Memorial Scroll No.

Name of Congregation/ Organisation

Affiliation

Address

Post/Zip Code

Country

Telephone:

Fax.

Email

Website

Rabbi/s

Rabbi email/s

Educator

Educator email

People in the Congregation with a special involvement with the Czech Memorial Scroll (Name and position)

Congregation emails

This form was completed by (name, position, email)
name:
position:
email:

Date

1. Where is the Memorial Scroll kept?
Ark?Display Cabinet?Elsewhere?
If elsewhere please describe

2. Is the brass plaque from the Trust still attached to one of the wooden plates on the rollers?
YesNo
If "no" please explain

3. Have any repairs been made to the Memorial Scroll? (details)

4. Do you have the Certificate which came with the Scroll? YesNo
If the Certificate is on display, where is it displayed?

5. Are there any congregational occasions when the Scroll is featured?

6. What is the Czech place of origin of the Memorial Scroll?

7. Is the Memorial Scroll insured? (details please)

8. Any other information...?

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Thank you for your help and co-operation