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Memorial Plaque Order Form

In order to have nameplate installed in time for Rosh Hashanah, we must receive your application and payment by noon on Monday, July 12. If you have any questions, please contact Lori Rosen.
To place your order click the checkbox above. Please note the cost of a plaque is $500 and is payable upon completion of this form. Please double-check the spelling and accuracy of information before submission. Order is not complete until payment is received.
Wed, January 26 2022 24 Sh'vat 5782