Beth Israel Memorial Plaque Form

Please print out this form, and send with your contribution to:

Beth Israel Congregation
2000 Washtenaw
Ann Arbor, MI 48104.

Memorial Plaques

Memorial Plaques are lit on the Yahrtzeit of the individual and each time there is a Yizkor Service (another four times a year). Individuals are notified of a Yahrtzeit even if they move out of town or are no longer members. The plaques are solid cast bronze plaques, 2" x 9 ½".

They are available at a cost of $500 each.

Name of Purchaser__________________________________________

Address___________________________________________________

City__________________ State_____ Zip________________________

Phone________________________ E-Mail_______________________

Please provide the following information:

The name of the deceased in English_______________________________________________

Date of death in English_________________________________________________________

The name of the deceased in Hebrew ______________________________________________

Date of death in Hebrew_________________________________________________________

The information in Hebrew may be transliterated. Any questions about the Hebrew may be referred to the office.

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