Chabad at Chestnut Hill Memorial Board

Names inscribed on the plaque will have their Yahrtzeit observed in the following manner:

  • A card will be mailed each year with a reminder of the day of the Yahrtzeit.
  • The memorial bulb will be lit during the month of the yahrtzeit and during all Yizkor days.

The initial cost for inscription on a bronze plaque is $900.00. Each year thereafter, a contribution of any size will be appreciated on the Yahrtzeit day. For a memorial plaque application, please call 617-738-9770
 
DONOR INFORMATION (individual ordering the plaque)
First name   State
Last name   Zip
Address   Email
City   Phone
 
DEDICATION PLAQUE
I would like to dedicate plaque/s at $900.00 per name/plaque.
Please inscribe the following name on the memorial tablet:
PLAQUE #1   PLAQUE #2
Last Name   Last Name
First Name   First Name
Hebrew Name   Hebrew Name
Father's Hebrew Name   Father's Hebrew Name
Date of Passing   Date of Passing
After dark? Yes No   After dark? Yes No
 
NOTIFICATION DETAILS
Please send Yahrtzeit cards to the following people on the yahrtzeit:
Name   Full Address
Name   Full Address
 
PAYMENT DETAILS
(Alternatively you may print this form and mail with a check to Chabad at Chestnut Hill, 163 Bellingham Road • Chestnut Hill, MA 02467.)
Name on card   Amount to be charged TODAY
Card Number   Card Type
Exp. Date   CVV Code 3 digits on back of card