One moment please...

Yahrzeit Plaques

Perhaps you are considering having a loved one’s name added to our Temple yahrzeit (memorial) plaques.

Inscribing names on a memorial plaque is a wonderful way to treasure their memory. Filling out this form will help you to secure a plaque or email rmziring@hotmail.com for assistance.

Please indicate exactly how you want the name to appear. Middle initials or names are allowed, and while some families include the maiden name of a married person, this is a personal choice.

A donation of $300 per nameplate is required at the submission of this form. If you would like more than one plaque, you will need to complete a separate form.

Amount *

$300 - Yahrzeit Plaque

Your Contact Information

Please fill out this portion of the form so we can contact you if there is an issue or if we have any questions.

Name

First Name

Last Name

Phone

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Yahrzeit Plaque Order Form

Here you can provide the information of the person you are requesting a plaque for.

Hebrew Name *

English Name *

(full name including middle name or initial)

English Date of Passing *

Hebrew Date of Passing *