Neshama Soul Memorial  Dedication Opportunities
  Main Dedication
A dedication plaque will be placed in memory of your loved one or in your honor (also includes two regular plaques)
  Dedication in Honor of the Rebbe
(also includes one regular plaque)
  Dedicated to the Memory of the 6 Million Killed in Holocaust
(also includes one regular plaque)
  Open Dedication (3 spots)
(also includes one regular plaque)
  Plaque (60 available) $770
Other Opportunities to Sponsor in Memory of Your Loved One
  Prayer Book Quantity   $36
  High Holiday Prayer Book Quantity   $54
Your Information
First Name of Loved One   Family Name of Loved One  
Hebrew Name of Loved One   Father's Name of Loved One  
Day/Month/Year of Passing (English)   Day/Evening  
Hebrew Day of Passing (If You Know)   Relationship of Deceased  
First Name     State
Last Name Zip
Address Email
City Phone
Payment Information
Card Type   Card Number  
Exp Date    CVV  
Amount to Charge