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Yahrzeit Plaque Order Form


Example: Samuel Cohen (June 1, 1928 - December 1, 2018)

For use if ordering more than one yahrzeit plaque.

For use if ordering more than one yahrzeit plaque.

Donor Information

Example: 5089 Johnstown Road New Albany, Ohio 43054

Order

Plaques are $250.00 each. Please call the temple office at (614) 855-4882 if you would like to pay with cash or check. Please allow 3-4 weeks for delivery upon plaque approval.

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

  

Please increase the payment amount by 3% to cover the cost of credit card fees (No fee for Checking)
Total: