Northern Hills Synagogue
NHS Memorial Plaque - Order Form
Please use this form if you would like to memorialize a loved one with a plaque. The plaque will be hung on the Synagogue memorial boards.
The cost is $200 each. The plaques arrive in 6 weeks after approval and ordering. You will receive an email with a molding picture of your plaque for you to approve prior to the actual minting of the plaque.
Name of person ordering the Memorial Plaque.
Name of Loved One to be Memorialized.
Include title at the end.
Ex: John Parks, MD
Date of Death. Use the Gregorian date including the year, it will be converted to the Hebrew date and year. Both dates will appear on the plaque.
Pay Now (Online)
After submitting the form, you will be directed to "Pay for your plaque".
Do Not Fill This Out