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Yahrzeit Plaque Form
Please verify reCaptcha before submitting the form.
*
Your First Name
*
Your Last Name
*
Best Phone Number
*
Email Address
*
I understand yahrzeit plaques are $540 each
I understand yahrzeit plaques are $540 each
This is what your yahrzeit plaque will look like.
Please follow this formatting when filling out your information.
*
Hebrew Name (OK to type in English - we can convert it to Hebrew)
Format: Hebrew Name son/daughter of First Hebrew Name of Father and Mother (Last name is optional))
*
English Name (Full name as you'd like it seen on plaque)
*
English Date of Yahrzeit
*
Did the person pass away before or after sunset?
Please Select One
Before
After
I don't know
Hebrew Date of Yahrzeit, including the Jewish year
Wed, February 12 2025 14 Shevat 5785