Memorial Board Dedication

Memorial Board Dedication
Part 1: Information of the deceased you wish to honor
The information in this part is used to make the plaque. Please complete this section with care and exactly the way you would like it to appear
Last Name*
First Name- English*
First Name- Jewish/Hebrew*
Date & Time of Passing*Approximate time is OK
MonthDayYearat HourMinutes
Jewish Date of Passing (if known)
Father of Deceased: First Name*
EnglishJewish/ Hebrew
Mother of Deceased: First Name*
EnglishJewish/ Hebrew
Part 2: Your Information
Full Name*
First NameLast Name

Address*

E-mail*
Add to mailing list
Phone Number*
Area CodePhone Number
The 'Tzedakah'-Charity act in memory of a loved one, helps the soul rest in peace and achieve a higher place in the world up there.
Suggested contribution for a Memorial Plaque is $540, with a Pre-High Holiday discount to $360.
A receipt for income tax purposes will be issued.
Please Select*
$540$360

Payment

Credit Card Check

This page uses TLS encryption to keep your data secure.