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Memorial Wall form

Memorial Wall form

Chabad Family Shul Memorial Wall

memorial wall.jpg

I would like to dedicate a plaque in the Memorial Wall of Chabad Family Shul.

First Name
Last Name
Information for plaque (Hebrew Name and fathers name, English name, date of passing):

I will mail a cheque of $720 to:

Chabad of Vancouver Island

2955 Glasgow Street

Victoria BC V8T 4H1

Please charge my credit card $720:

Card Type*
Card Number*
Expiration Date*
CVV Security Code

For more information please email

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