Yahrzeit Plaque

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MEMORIAL PLAQUE ORDER FORM
"A beautiful way to remember your loved ones"

Plaques will be lit on the anniversary of your loved one’s passing, as well as at the Yizkor services held on Yom Kippur, Shmini Atzeres, Pesach and Shavuos.

* Your Name:

* Your Last Name:

* Email Address

In Memory Of

Deceased Full Name (English)

Deceased Hebrew Name (Hebrew)

Including Father's Name

Deceased Hebrew Name (English)

Including Father's Name (i.e. Shmuel ben Yitzchak)

Relationship to Deceased

Date of Death (Secular)

Time of Death

Date of Death (Hebrew) if known

i.e. 27 Iyar 5760

Add Name

Deceased Full Name (English)

Deceased Hebrew Name (Hebrew)

Include Father's Name

Deceased Hebrew Name (English)

Including Father's Name (i.e Shmuel ben Yitzchak)

Relationship to Deceased

Date of Death (Secular)

Time of Death

Date of Death (Hebrew), if known

i.e. 27 Iyar 5760

* Total Plaques Ordered

Total

Tue, August 4 2020 14 Av 5780