Memorial Plaque Donation - Form - Congregation Ahavath Torah

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Memorial Plaque Donation

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Please complete this form to order a yartzeit memorial plaque. We will contact you to confirm the location and spelling.

* Name:

* Last Name:

* Spouse's name:

To help us identify you. If single type N/A.

* Email:

* Phone number:

* English name of deceased

Hebrew name of deceased

Date of death-English

Date of death-Hebrew (if known)

Your relationship to deceased

* Memorial Plaque Order - $613

Memorial Plaque Order - $613

Total

Your donation is not complete until you press "Go to payment" below.

Wed, April 24 2024 16 Nisan 5784

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