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The Memorial Board

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

  • A notice will be sent 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. For a memorial plaque application, please call 617-965-1968

 
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
mm/dd/yy
  Date of Passing
mm/dd/yy
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