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Memorial Plaque Order Form


Memorial Plaque Order Form

Having a Memorial Plaque ensures that your loved one will be remembered forever at B’nai Zion.
The Memorial light by the plaque will be lit the week of the Yahrzeit and at all Yizkor services.
The name of your loved one will be read for each Yahrzeit
and Kaddish will be recited for the Yahrzeit each year.

Is there a specific date deadline for the plaque to be installed, for example a Yahrzeit or Yizkor? Leave blank if there is no deadline. 
You will be notified when the plaque is installed even if you do not specify a deadline.
Note: It will take 6-8 weeks for the plaque to arrive at B'nai Zion.

INSCRIPTION: Name and date(s) for the plaque. Traditionally at B'nai Zion the name of the deceased with a birth date (bottom left) and death date (bottom right) are included. The secular or Hebrew dates can be used - and if requested, the Hebrew dates could be written in Hebrew.
(The engraver will arrange proper spacing.)

TOP LINE OF PLAQUE: Name of Deceased (The engraver will arrange proper spacing.)
 
Be careful to spell the name exactly as it should appear on the plaque.

BOTTOM LEFT OF PLAQUE:
Traditionally this is used for birthday of deceased, but can be an alternate date.
(The engraver will arrange proper spacing.)
 
Specify date for left bottom of plaque.
Please include month, day, and year.
If not birthday, please explain

BOTTOM RIGHT OF PLAQUE:
Traditionally this is used for death date of deceased, but can be an alternate date.
(The engraver will arrange proper spacing.)

 
Specify date for right bottom of plaque.
Please include month, day, and year.
If not death date, please explain

CONTACT INFORMATION:
Provide details about who to contact about plaque.

 

PAYMENT INFORMATION:
Details about the donation payment for the plaque.
Payment options on next page.


 
There is a minimum $500 donation per plaque,
which must be received by B’nai Zion
before the order will be submitted to the engraver. 
Fill in amount of donation below (not less than $500):
Sun, July 25 2021 16 Av 5781