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Yahrtzeit Plaque Order Form

Please verify reCaptcha before submitting the form.

                                

YAHRZEIT PLAQUE ORDER FORM

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Person Ordering (First Name):

Last Name:

Mobile or Best Number:

* Email Address:

* I would like to dedicate a brass yahrtzeit plaque in:

Joseph Straus MAIN SHUL ($540 - Engraved )Gluck Gelnick Beit Medrash - upper level ($720 - Cast Bronze)

* The person I am dedicating a yahrtzeit plaque for is:

Please Select OneMaleFemale

* Full English Name

To appear on plaque

* Full Hebrew Name (with father's Hebrew Name):

* English Date of Passing

* After Sundown?

Please Select OneNoYesI dont knowDid deceased pass away after Sundown on the English date?

Hebrew date of the deceased's passing (if known):

If your loved one passed away on Rosh Chodesh, please check here

If your loved one passed away on Rosh Chodesh, please check here

Total:

Tue, January 13 2026 24 Teves 5786

               8 Spruce Street, Cedarhurst, NY 11516

                   P: 516-569-3324 | E: Office@YILC.org

 

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