Yahrzeit Plaque Order Form

Purchaser's Information

* First Name

* Last Name

* Email

* Primary Phone Number

* Address

* City

* State

* Zip

Information for Plaque

* Name of the deceased as you would like it to appear on the Yahrzeit Plaque

* Deceased's Date of Birth

* Deceased's Date of Death

* Cost of Yahrzeit Plaque is $540

Cost of Yahrzeit Plaque is $540Check box and click "Submit" to proceed to payment

Fri, March 24 2023 2 Nisan 5783

Congregation Shalom

7630 N Santa Monica Blvd.
Milwaukee, WI 53217

Email info@cong-shalom.org
Phone (414) 352-9288
Fax (414) 352-9280

Friday Night

: 6:00pm

Candle Lighting

: 6:50pm

: 9:00am

Havdalah

: 8:00pm