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Memorial Plaques
Please verify reCaptcha before submitting the form.
First Name
Last Name
Email
Name of Deceased 1
Relationship
Hebrew Name of Deceased 1
Hebrew Date (if known)
Date of Death (secular calendar)
Time
Before Sundown
After Sundown
Name of Deceased 2
Relationship
Hebrew Name of Deceased 2
Hebrew Date (if known)
Date of Death (secular calendar)
Time
Before Sundown
After Sundown
Name of Deceased 3
Relationship
Hebrew Date (if known)
Date of Death (secular calendar)
Time
Before Sundown
After Sundown
Number of Plaques
1 Plaque - $150
2 Plaques - $250
3 Plaques - $300
Total
Thu, April 24 2025 26 Nisan 5785
