Having a plaque for your loved remembered ones on the Memorial Board is a way of having them spend the High Holidays and Yizkor Services with you. * The Memorial Board Plaque includes: -A plaque on the Memorial Board. -A lit light by the plaque for the entire month of Yahrtzeit. -A yearly reminder letter for Yahrtzeit. -Mention in Yizkor Prayers (4 times a year. Yom Kippur, Sukkot, Pesach, Shavuot) * Price for Memorial Board Plaque is $360 (one time fee), with payment options if needed. SPONSOR Information: *required field * First Name: *Last name: * Billing Address: * City: * State: *Zip Code: * Telephone: * E-mail: Deceased's Information: * Relationship to Sponsor: Father Mother Husband Wife Other: * First Name: * Last name * Hebrew Name: * Father's Hebrew Name Mark applicable: Cohen Levi Israel * Date of Passing (mm/dd/yyyy) * Time of Passing: Day Night if Evening, time PM PAYMENT: * Credit Card Type: Choose One Visa Master Card American Express * Credit Card Number * Expiration date * Cardholder's Name: * Billing Zip Code * CCV (Security Code) Payment Plan: The entire amount is a single payment - $360 The entire amount in two equal installments - $180 each Please date Checks for a month apart. Credit Card will be charged in two consecutive months. Memorial Plaque Order will not be processed without payment. This page uses 128 bit SSL encryption to keep your data secure.