Yahrzeit Plaque Order Form

YAHRZEIT MEMORIAL PLAQUE ORDER FORM
We sincerely appreciate those who support Temple Emanuel by remembering their loved ones.

Members: $540
Non-Members: $720
Reserve a spot: $50*
(*amount applied to the cost of the plaque at the time of purchase.)

The plaque will be formatted as follows:
FIRST NAME JOHN SMITH
ENGLISH DATE JANUARY 1, 2016
HEBREW DATE 20 TEVET 5776

Please complete a separate form for each individual plaque request.

* Your First and Last Name

* Phone #

* Email

What action would you like to take today?

Please select your chosen action.

* Are you a member of Temple Emanuel

* Deceased Name

If reserving a plaque only, please include the family name or the full name you wish to reserve the plaque for to include in our records.

Deceased ENGLISH Date of Passing

MM/DD/YYYY
(we will determine the Hebrew date)

If reserving a plaque, please do not include a date.

* Before Sunset / After Sunset

* Do other family plaques need to be moved to be near this plaque?

Please Select OneNoYes

If yes, please list other plaque names

* Would you like to be notified when the plaque is placed onto the Board?

Please Select OneNoYesIf yes, we will use your email/phone info above to contact you.

Total:

Payment is accepted by check or credit card.
If you would like to pay by credit card, you can do so at checkout.

To pay by check, please select "Bill to Account" at checkout. You must be a member and logged into your account to use this option.

Please make your check out to “Temple Emanuel” and include “Yahrzeit Plaque for [Enter Name]” in the memo line.

Please either drop the check off at the Temple or mail it to us here:
Temple Emanuel of Tempe
Attention: Payment
5801 S.Rural Road
Tempe, AZ 85283

Plaques will not be ordered until the payment is received.

A proof will be sent to you via email once received from the manufacturer. Your written approval is required prior to production approval.

Plaques take 6-8 weeks to arrive once the proof has been approved.

If you have any questions, please reach out to the Temple office (480) 838-1414.

Reserving a plaque only reserves a space on our Yahrzeit Board and does not imply or guarantee the amount owed for the actual plaque. Total funds, minus the $50 reservation fee will be due and payable, at the current rate at the time of order submission.

Wed, April 24 2024
16 Nisan 5784

Wed, April 24 2024 16 Nisan 5784