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Memorial Board Plaques
Please verify reCaptcha before submitting the form.
Shaarei Orah Memorial Plaque Form
*
First Name
*
Last Name
*
Email Address
*
Phone
*
Street Address
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
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District of Columbia
Florida
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Indiana
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code
Memorial Plaque pricing:
One Memorial Plaque - $260
Two or more Memorial Plaques - $250 per plaque
Number of Memorial Plaques
Please choose amount
One Memorial Plaque
Two Memorial Plaques
Three Memorial Plaques
Four Memorial Plaques
Five Memorial Plaques
Six Memorial Plaques
To order more than six plaques please contact finance@sephardicteaneck.org.
Total
Plaques will be engraved in the format shown below (click on picture to view larger). Please provide this information for each plaque ordered.
To email separately, please send to finance@sephardicteaneck.org or use file upload option.
Please note: order is not complete until plaque details are received.
Please enter information for each plaque below or use file upload option
Name English (First and Last)
Name Hebrew (First name ben/bat father's first name)
English Date of yartzeit(month/date/year)
Hebrew Date of yartzeit (month/date/year)
Upload information for plaque here
Please use the option above if you would like to upload your own file with information for the memorial plaque(s).
Wed, June 7 2023 18 Sivan 5783