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Memorial Board Registration Form

In Loving Memory

Honor a cherished loved one and keep their memory alive by dedicating a memorial plaque on this board. Our memorial plaques are a heartfelt way to pay tribute to those who have touched our lives and left an indelible mark on our hearts. As we remember them, we find comfort in the enduring legacy they have left behind.

Dedicate a plaque today and let their memory shine as a beacon of love and remembrance in our hearts forever. Your dedication serves as a symbol of the love, respect, and admiration that will continue to flourish in our hearts.

To dedicate a plaque Please fill out information below.

Each Plaque Costs $360
Full Name

First Name Last Name
E-mail
Phone Number
Name of loved one
Hebrew name of loved one
Fathers name of loved one
Fathers Hebrew Name
Date of passing

Month Day Year
Time of death

Hour Minutes
Dedication Plaque with a light for yizkor/yuhrtzeit

$360
Total

$360.00

Payment

Credit Card Check ,Zelle , CashApp

Postal / Zip Code

Country

Should be Empty:

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