Yahrzeit Memorial Plaque Order Form - Form - Adath Israel

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Yahrzeit Memorial Plaque Order Form

The deadline for summer orders is Thursday, July 31, 2025. All plaques ordered by this deadline will arrive in time for Yom Kippur. The cost for each plaque is $425.

The cost of each plaque is $425 (a tax deductible donation).

A record of the Yahrzeit will be maintained by the synagogue and an annual Yahrzeit reminder will be sent to:

* First Name

* Last Name

* Email Address

* Phone Number

* Address Line 1

Address Line 2

* City

* State

* Zip Code

Yahrzeit Plaque

* Full name in English

Please type the name as you wish it to be displayed

* Relationship

Please order a Yahrzeit Memorial Plaque in memory of my (mother, father, sister, brother, husband, wife, etc.)

Hebrew Date of death if known

Day/Month/Year

* Secular date of death

* Before or after sunset

Please choose oneBefore SundownAfter SundownPlease check whether the time of death was before or after sundown

Indicate Placement Board Preference

If you have any questions, please call the Main Office at 610-934-1919.

Wed, September 17 2025 24 Elul 5785

Adath Israel

250 N Highland Ave
Merion Station, PA 19066
(610) 934-1919

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