Yizkor-Memorial Board Form - Form - Shaare Torah

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Yizkor-Memorial Board Form

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First Name

Last Name

One Plaque @ $360

One Plaque @ $360

I wish to purchase a Yizkor-Memorial Plaque at $360. Please use a new form for each submission.

English Name of Deceased

Hebrew Name (if known):

Father's Hebrew Name (if known):

Mother's Hebrew Name (if known):

Secular Date of Death

Jewish Date of Death (if known):

Approximate Time of Death

Relationship to the Person Ordering the Plaque

Please provide us with an email address so we can ensure you receive a confirmation of your submission.

Wed, October 9 2024
7 Tishrei 5785

Wed, October 9 2024 7 Tishrei 5785

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301-869-9842|info@shaaretorah.org

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