Hall of Memories

Donor First Name

Donor Last Name

Donor Phone

Donor Email

Donor Address

Address Line 2

City

State

Zip

* Number of *NEW* plaques ordering

Number of Plaques to replace those in the original Hall of Memories:
$250

Plaque Information

English Name of the Deceased

Hebrew Name of the Deceased

Gregorian Date of Death

Hebrew Date of Death

English Name of the Deceased 2

Hebrew Name of the Deceased 2

Gregorian Date of Death 2

Hebrew Date of Death 2

Total

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