Yahrtzeit Memorial Board - Lubavitch of Yardley

Full Name*
First Name Last Name
E-mail*
# of plaques* $720 a plaque
Plaque #1
Name of loved one As will appear on plaque
First Name Last Name
Hebrew name of loved one & their father e.g Dina bat Yaacov
Day & Time of Passing Time of Passing can be approximate

Month Day Year
at Hour Minutes
Plaque #2
Name of loved one As will appear on plaque
First Name Last Name
Hebrew name of loved one & their father e.g Dina bat Yaacov
Day & Time of Passing Time of Passing can be approximate

Month Day Year
at Hour Minutes
Plaque #3
Name of loved one As will appear on plaque
First Name Last Name
Hebrew name of loved one & their father e.g Dina bat Yaacov
Day & Time of Passing Time of Passing can be approximate

Month Day Year
at Hour Minutes
Plaque #4
Name of loved one As will appear on plaque
First Name Last Name
Hebrew name of loved one & their father e.g Dina bat Yaacov
Day & Time of Passing Time of Passing can be approximate

Month Day Year
at Hour Minutes
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100% of the proceeds of this donation or payment benefit Chabad Lubavitch of Yardley.
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Yardley Shul