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Yahrzeit Memorial Plaque Request
Please verify reCaptcha before submitting the form.
*
Email:
*
Your First Name:
*
Your Last Name:
*
English Name for the plaque:
*
Hebrew Name for the plaque:
*
Date of death:
*
Hebrew date of death:
*
I accept the $360 charge per plaque
I accept the $360 charge per plaque
Must be paid in advance in order to place the order for the plaque.
Total:
Sat, June 14 2025 18 Sivan 5785
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