Memorial Plaque Dedications - GlendaleChabad.org

Memorial Plaque Dedications
A memorial plaque can be purchased for display on the CLTC memorial board in memory of a loved one for $500 each. The order for the plaque will be placed on receipt of payment.
Please create a memorial plaque for:
English Name of Deceased*
First Name Last Name
Hebrew Name of Deceased
Father's Hebrew Name (if known, otherwise English name)
Mother's Hebrew Name (if known, otherwise English Name)
Date of Passing

Month Day Year
Time of Passing (if known)
Hour Minutes
Your information
Your Name*
First Name Last Name
Phone Number*

Area Code Phone Number
E-mail*
Other Comments
You have the option to pay the full $500 now, or $250 now and $250 once the plaque is placed.
Payment Options

$500 USD$250 USD
Total

$0.00 USD

Payment

Credit Card eCheck

Postal / Zip Code

Country

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