Memorial Board Dedication

You can memorialize your loved ones on the beautiful memorial board at the Molly Blank Jewish Community Center. The elegant memorial board is a distinguished, reverent way of paying respect and tribute to the memories of our dear departed loved ones, showing as it does the prominent place they occupy in our hearts and in our place of worship.

Plaques are available for $1,800 (payment options available). The fee includes annual notification of upcoming Yahrtzeits, and the illumination of memorial lights on the board on the Yahrtzeit day and on all Yizkor days perpetually.

If you would like to have the name of a loved one engraved on the Board, please complete this form and submit with $1,800 for each plaque.
Contact Information
Full Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Memorial Information
English Name of Deceased*
Hebrew Name of Deceased*
Father's Hebrew Name of Deceased*
DD/MM/YY of Passing*
Time of Passing
The deceased was a
Payment Options
The following payment options are available:
- Pay in full now ($1,800)
- Pay monthly over the year ($150/month)
- Make 2 payments of $900
- Make 5 payments of $360
Payment Options

Pay in full - $1,800Pay monthly over the year - $150/monthMake 2 payments of $900Make 5 payments of $360
Total

$0.00

Payment

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