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Home > Donate > Dedicate our new Lev Shalem Siddurim > Memorial Plaque & Leaf Dedication

Memorial Plaque & Leaf Dedication

Memorial Plaque & Leaf Dedication Form

 

Memorial Plaque: Member: $475 • Non-Member: $950
Large Leaf: Member: $300 • Non-Member: $600
Small Leaf: Member: $180 • Non-Member: $360
B’nai Mitzvah Leaf: Member: $125 • Non-Member: $300
Or download the PDF form
Contact Information
 
Order a Memorial Plaque 
Member: $475 • Non-Member: $950

NOTE: Do not hesitate to contact the Rabbi or the Cantor for assistance with Hebrew names and/or dates.

Order a Leaf 
Large Leaf Member: $300 • Non-Member: $600
Small Leaf Member: $180 • Non-Member: $360
B'nai Mitzvah Leaf Member: $125 • Non-Member: $300
Not to exceed four lines and 36 characters per line.
Additional Comments

 

Fri, August 15 2025 21 Av 5785