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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. 
Please select your chosen action. 
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. 
MM/DD/YYYY
(we will determine the Hebrew date)

If reserving a plaque, please do not include a date. 
If yes, we will use your email/phone info above to contact you.
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. 
Thu, October 16 2025 24 Tishrei 5786