Memorial Board Dedication

Located in our sanctuary is an elegant wood and brass memorial board for the purpose of inscribing and eternalizing the names of our departed loved ones on individual plaques. See example of plaque below.
Dedicator's Name*
First NameLast Name
E-mail
Phone Number
Area CodePhone Number
Please input the relevant information of the deceased being memorialized below. This is what will be engraved on the plaque in the Memorial Board:
First Name (English) to be Memorialized*
Middle Name (English)
Include Middle Name (English) in Engraving
Yes
Last Name (English) to be Memorialized*
Hebrew First (and Middle) Name(s) to be Memorialized*May be Anglicized
Hebrew First (and Middle) Name(s) of Father to be Memorialized*May be Anglicized
Exact Time of Passing (To the Best of your Knowledge)*
MonthDayYear
at HourMinutes
Comments
-------------------------------------------------------------------------------------------------------------------------------------------
Total*
$360

Payment*

Credit Card Other

This page uses TLS encryption to keep your data secure.