Plaque Form - Form - Congregation AABJ&D

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Plaque Form

Please verify reCaptcha before submitting the form.

Please fill out one form per plaque

* Your First Name

* Your Last Name

* Phone Number

* Email Address

* Hebrew Name

* English Date of Yahrzeit

* Hebrew Date of Yahrzeit, including the Jewish year

(English number, Jewish month, Jewish year)

Plaque text

Tue, September 17 2024 14 Elul 5784

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