Tree of Life Order Form

TREE OF LIFE


* Honor a relative or friend
* Mark a special occasion
* Memorialize a loved one

Wording can be in English, Hebrew or a combination of both.

Leaves are available for $100
Acorns are available for $500
Foundation Stones are available for $1,000

Questions? Call Ben Zion Lazovsky at (847) 679-9800 and leave a message, or e-mail bhhkmal@yahoo.com.

To order, please return the order form below to the Shul office.

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Tree of Life Order Form

Name:

Phone Number:

Amount Enclosed: $

Please check one:

Leaf - $100 each

Acorn - $500 each

Foundation Stone - $1,000 each
TEXT OF PLAQUE

Please note: Leaves are limited to four lines plus the date.

Please print this page and send it to the office.