Tree of Life Order Form

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

Beth Israel Congregation
2000 Washtenaw
Ann Arbor, MI 48104.

TREE OF LIFE ORDER FORM ($360 per plaque)

Name____________________________________________________________________________

Address___________________________________________________________________________

City_______________________________________State_______Zip__________________________

Phone_________________________ E-mail______________________________________________

Simchas: Birth, Bris/Baby Naming, Birthday, Bar/Bat Mitzvah, Graduation, Wedding, and Anniversary

Inscription for plaque: Each plaque allows for three lines of copy, 20 characters per line.

First Line and Second Line: Name of Person/People Honored

Third Line: Occasion and Date

Please write your copy for the plaque in the following grid: (Please note, characters include spaces.)

                                       
                                       
                                       

Thank you for your thoughtfulness and generosity.

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