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Memorial Plaque Dedication

Memorial Plaque Dedication

Chabad at Chestnut Hill Memorial Board

Names inscribed on the plaque will have their Yahrtzeit observed in the following manner:

  • A card will be mailed each year with a reminder of the day of the Yahrtzeit.
  • The memorial bulb will be lit during the month of the yahrtzeit and during all Yizkor days.

The initial cost for inscription on a bronze plaque is $540.00. Each year thereafter, a contribution of any size will be accepted on the Yahrtzeit day. For a memorial plaque application, please call 617-738-9770

DONOR INFORMATION (individual ordering the plaque)
First name State
Last name Zip
Address Email
City Phone
DEDICATION PLAQUE
I would like to dedicate plaque/s at $540.00 per name/plaque.
Please inscribe the following name on the memorial tablet:
PLAQUE #1 PLAQUE #2
Last Name Last Name
First Name First Name
Hebrew Name Hebrew Name
Father's Hebrew Name Father's Hebrew Name
Date of Passing Date of Passing
After dark? Yes No After dark? Yes No
NOTIFICATION DETAILS
Please send Yahrtzeit cards to the following people on the yahrtzeit:
Name Full Address
Name Full Address
PAYMENT DETAILS
(Alternatively you may print this form and mail with a check to Chabad at Chestnut Hill, 163 Bellingham Road • Chestnut Hill, MA 02467.)
Name on card Amount to be charged TODAY
Card Number Card Type
Exp. Date CVV Code 3 digits on back of card

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