We are happy to inform you that we have purchased three beautiful Memorial Boards, which have been hung on the back wall of our Sanctuary.  They will afford you the opportunity to purchase a permanent memorial for departed relatives in the form of a  memorial plaque.  These plaques will be lit each year on the person's Yahrzeit, (anniversary of death) and at each of our Yizkor (memorial) services.

If you wish to order a plaque to be installed on the Memorial Boards of Congregation Beit Haverim, please complete this form with the appropriate information.  The cost is $325.00 and it will take approximately six weeks for the plaque to be delivered and installed.  FULL PAYMENT MUST ACCOMPANY THE ORDER.  Make your checks payable to Congregation Beit Haverim and mail to:


    Congregation Beit Haverim
    P.O. Box 5309
    Vernon Hills, IL  760061



Your Name:_____________________________________________________________

Your Address:____________________________________________________________



Name of Deceased:________________________________________________________

Hebrew Name of Deceased:_________________________________________________

Father's Hebrew Name of Deceased___________________________________________

    Please check box:                —  KOHAIN —  LEVITE

Date of Death:-___________________________________________________________

Did the death occur before or after sunset:  Please check box:    —  BEFORE     —  AFTER

The Hebrew Date of Death, if known:_________________________________________

The Deceased was my _____________________________________________________
                                                      (Relationship)