Buy a Memorial Plaque

Memorial Wall Plaque

Donation for memorial plaque

Memorial Plaque (name plate for Memorial Board) You can memorialize your loved one with a lighted wall plaque. Our office staff will light the plaques on the individual yahrzeit date, as well as the Festival and High Holy Days. More information is available from the office, or you can complete the form below and make a payment online.

Name of Deceased

First Middle Last

Date of Birth

MM slash DD slash YYYY

Date of Death

MM slash DD slash YYYY

Name of person ordering Plaque(Required)

First Last

Relationship to Deceased

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Memorial Wall Plaque

Temple Member $300.00

Non-Temple Member $400.00

Memorial Wall Plaque

Price: $0.00

Total Price including 3% credit card processing fee

By checking the box below, I am confirming that the informtion above is correct(Required)

Yes, All the information is correct

Credit Card

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Memorial Plaque Order Form