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Memorial Plaque & Leaf Dedication Form

Memorial Plaque: Member: $425 • Non-Member: $800
Large Leaf: Member: $250 • Non-Member: $500
Small Leaf: Member: $150 • Non-Member: $300
B’nai Mitzvah Leaf: Member: $100 • Non-Member: $250
Or download the PDF form

Contact & Billing Information
 

Order a Memorial Plaque 
Member: $425 • Non-Member: $800

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: $250 • Non-Member: $500
Small Leaf Member: $150 • Non-Member: $300
B'nai Mitzvah Leaf Member: $100 • Non-Member: $250
Not to exceed four lines and 36 characters per line.


 

Sun, November 3 2024 2 Cheshvan 5785