Simcha & Chair Plaque Order Form

All text is case sensitive and centered automatically on your order. Please use the spaces provided below for your message and note that characters include letters, numbers, spaces and punctuation.

Please fill out a form for each plaque.

* Your First Name

* Last Name

* Your email

* Best Phone #

Commemorate a special occasion, milestone or accomplishment with a chair or simcha plaque.

Check box to purchase a chair plaque. $180

Check box to purchase a chair plaque. $180To be placed on the back of sanctuary chairs. There will be up to three plaques on each chair.

Line 1

up to 25 characters

Up to 4 lines of text on each plaque.

Line 2

up to 25 characters

Line 3

up to 25 characters

Line 4

up to 25 characters

Check box to purchase a Simcha Plaque. $180

Check box to purchase a Simcha Plaque. $180To be placed on the Tree of Life wall at the back of the Social Hall.

Line 1

up to 25 characters

Up to 3 lines of text on each plaque.

Line 2

up to 25 characters

Up to 3 lines of text on each plaque.

Line 3

up to 25 characters

Up to 3 lines of text on each plaque.

Total Amount

The donation/purchase is not complete until you press "Submit"

Thu, April 25 2024 17 Nisan 5784