Yahrzeit Plaque Application

Yahrzeit is the Jewish tradition of honoring those who have passed away on the anniversary of their death. One way The Shul offers to permanently honor the memory of your loved ones is by ordering a Yahrzeit Plaque. The placing of a plaque on the Yahrzeit Wall in the sanctuary is a lasting tribute.

Payment in full is required for your order to be processed.
Please complete the following items. The cost of the Yahrzeit plaque is $500.

* English Name of Departed

(As it should appear on plaque)

* Hebrew Name of the Departed

Hebrew or Transliterated.

Ben/Bat

Son/Daughter of

* Father's Name

Hebrew or Transliterated

* Mother's Name

Hebrew or Transliterated

* Date of Death

* Time of Death

Location of Death:

Yahrzeit date is based on the Jewish date, which is determined by the local time of sundown.

Please provide, if available, name, address, and phone number of the attending funeral home:

* Purchaser Name:

Email:

* Phone:

* Address

* City

* State

* Zip Code

How many people would you like to be notified of upcoming Yahrzeits?

Person to be notified of upcoming yahrzeit:

Address:

Email:

Person to be notified of upcoming yahrzeit:

Address:

Email:

Person to be notified of upcoming yahrzeit:

Address:

Email:

A manufacturer’s proof of the proposed imprint will be reviewed by the Rabbi and provided to the purchaser. Approval signatures are required for final fabrication to proceed.

* I/We agree to the purchase of this plaque for $500.

I/We agree to the purchase of this plaque for $500.

Total Due

Thu, April 18 2024 10 Nisan 5784