Memorial Plaque Order Form

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Bronze memorial plaques are located in the GRJC sanctuary. Each plaque is lit during the week of the deceased's yahrzeit, when kaddish is recited. You will also receive an annual yahrzeit reminder letter, with the date of observance.

The cost for each plaque is $360.

Please note that if you wish to reserve a space for a plaque next to this one, order and payment must be received in advance (see below).

You may use this form to purchase up to two plaques (plus a "reserved" space, if you wish).

Plaques take approximately eight to ten weeks, and we will contact you when yours has arrived.

If you have any questions, please contact Galit Levinsky at office@grjc.org or (201) 652-6624.

Thank you very much.

Your full name:

* Email

A confirmation will be sent to this email address.

* Phone Number

Your mailing address (so that we may send you an annual yahrzeit reminder letter):

Memorial Plaque #1

* Full name of the deceased (please type the name in exactly as you would like it to appear on the plaque):

* Date and year of death - Gregorian/English:

Date and year of death - Hebrew (if known):

If you do not know the Hebrew date, we will calculate it for you.

* Deceased's relationship to you (e.g., mother, father, sibling):

Memorial Plaque #2
(if applicable)

Full name of the deceased (please type the name in exactly as you would like it to appear on the plaque):

Date and year of death - Gregorian/English:

Date and year of death - Hebrew (if known):

If you do not know the Hebrew date, we will calculate it for you.

Deceased's relationship to you (e.g., mother, father, sibling):

Please check here if you would like to reserve a space immediately above or below the plaque you are ordering. A plaque that says "RESERVED" will be put in this space. If you need to reserve more than one space, please indicate in the box below ($360 each).

Please select the number of plaques (including "reserved") you are ordering ($360 each)

Please type any notes/special requests or questions here:

Total

Fri, October 31 2025
9 Cheshvan 5786

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Fri, October 31 2025 9 Cheshvan 5786