Donor Information
First Name
Last Name
Address
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DEDICATION PLAQUE
I would like to dedicate plaques at the cost of $500/plaque. Please inscribe the following name on the memorial tablet:
How many plaques:
1 Plaque
2 Plaques
Plaque 1:
Date of Passing:
After Dark
Please select
Yes
No
Notification details
Please send Yahrtzeit cards to the following people on the yahrtzeit:
Name:
Full Address:
Plaque 2:
Date of Passing:
After Dark
Please select
Yes
No
Plaque 2 Notification details
Please send Yahrtzeit cards to the following people on the yahrtzeit:
Name:
Full Address:
Amount
Total Amount
0.00
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