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Yahrzeit Plaque Order Form

Thank you for submitting a yahrzeit plaque order form.
You can submit one form per plaque.
Each plaque costs $400 and will not be submitted to our vendor until full payment is received.

The form will be processed through the Admin Office at Herzl-Ner Tamid and in conjunction with our plaque vendors.

Please allow 7-10 weeks for the plaques to be processed, ordered and completed.
You can submit one plaque entry per form.
Each plaque is $400
We will not submit the entry to the vendor until the amount is paid in full
We will not submit your order to the plaque vendor until the amount is paid in full.
Please type the first and last name in English as you would like it to appear on the plaque.
Please enter it as transliteration.
We can convert it to Hebrew text
There are date converters available at
Mon, May 27 2024 19 Iyyar 5784