Bardejov Holocaust Memorial Names Project


We need the help of survivors, and their friends and families in composing a list of victims of the Holocaust from the Bardejov area. We hope to inscribe their names on the upcoming Bardejov Holocaust memorial to be built next to the Jewish Suburbia in Bardejov, Slovakia. If you have information that can help us compose an accurate list, please take a moment to complete and submit the following survey or Click here to open a printer friendly Adobe Pdf to print and then fax us at (626)773-8825. Thank you!

1. My contact information:
Name:

Address:

Telephone:
Work: Home: Cell:
Fax:
Email:
* This is a required field

2. My connection to Bardejov:

:

3. Do you know of former Bardejov or Bardejov area residents who were killed in the Holocaust either in concentration camps, train deportations, exile in ghettos outside of Slovakia, in hiding in Slovakia or other countries, or in any other way as a direct result of the Holocaust?:

Names
Name
Date of Death
Place of Death
Pre War Residence
1.  
2.  
3.  
4.  
5.  
6.  
7.  
8.  
9.  
10.
Notes:


Survivors

Name
Did they return
to Bardejov?
Post war residence/city/country
Current or last
place of residence
1.  
2.  
3.  
4.  
5.  
6.  
7.  
8.  
9.  
10.
Survivors Notes:


4. The best way to contact me is by (please select your first choice):




5. I would be willing to further help gather and check names for the memorial by:
Reviewing a current printed list of victims and survivors to make additions and corrections
Having a phone conversation with the committee
Referring you to another person who would be a good primary source for the list
Other (please explain):


6. Other information about me:

To submit this survey, please click here.

Bardejov Jewish Preservation Committee, 905 S. Fair Oaks Avenue, Pasadena, CA 91105, USA
Tel: (626)773-8801, Fax: (626) 773-8825, Email: info@bardejov.org