Yizkor Memorial Board __________________________________________ Please include my loved one on the Yizkor memorial board! Each plaque will feature name and yahrtzeit date including light, of one loved one. Name of loved one (If known ) Hebrew name of loved one (If known) Hebrew name of father of loved one Date of passing (if known) Hebrew date of passing (Yahrtzeit) ---------------------------------------------------------------- Plaque 2 (for second loved one, if applicable) Name of loved one (If known ) Hebrew name of loved one (If known) Hebrew name of father of loved one Date of passing (if known) Hebrew date of passing (yahrtzeit date) -------------------------------------------------------------------- Please charge my credit card : $1,250 for one standard plaque for each loved one on the yizkor memorial board. How many plaques? ------ $2,500 for one larger /double display plaque for each loved one on the yizkor memorial board. ($5,000 Special placement on top only 2 left) ($25,000 Special large side location) How many plaques? ------------------------------------------------------------------ Pay by Credit Card Name on card Card number Expiration date Address Email Pay by (electronic) Check: Amount Account type Checking Savings Account number Repeat Account number Routing number Name on account This page uses 128 bit SSL encryption to keep your data secure.
