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	Memorial Board & Wish List - Chabad of Peabody
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<span style="font-family: Tahoma; font-size: 16px;"><strong>Chabad of Peabody Memorial Board &amp; Wish List (Below)</strong></span></p>
<p align="center">
<span style="font-family: Tahoma;">                                                                                      <strong>Below are some of the things that we need, but will only buy if they are sponsored! If you would like to sponsor or partially sponsor any of these items below, please email me directly, </strong></span><span style="font-family: Tahoma;"></span><a href="mailto:rabbi@jewishpeabody.com?subject=I'd%20like%20to%20help%20out%20with%20the%20wish%20list" style=""></a></p>
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<a href="mailto:rabbi@jewishpeabody.com?subject=I'd%20like%20to%20help%20out%20with%20the%20wish%20list" style=""><strong>rabbi@jewishpeabody.com</strong></a></p>
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<p> </p>
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<p>1. 20 New Rosh Hashana Machzor, Prayer books. $40 Each</p>
</span>
<p> </p>
<span style="font-family: Tahoma;">
<p>2. 20 New Yom Kippur Machzor, Prayer books. $40 Each</p>
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<p> </p>
<span style="font-family: Tahoma;">
<p>3. POWER WASH THE BUILDING: $600</p>
</span>
<p class="Remove"> </p>
<span style="font-family: Tahoma;">
<p class="Remove">4. SPONSOR THE TENT: $1,800</p>
</span>
<p class="Remove"> </p>
<span style="font-family: Tahoma;">
<p class="Remove">5. SPONSOR ROSH HASHANAH KIDDUSH: $400 for a basic kiddush, partial sponsorship available</p>
</span>
<p class="Remove">
<span style="font-family: Tahoma;">6. SPONSOR YOM KIPPUR BREAK THE FAST: $540, partial sponsorship available. </span></p>
<p>
<span style="font-family: Tahoma;">7. Sponsor and Individual who cannot afford to pay $100</span></p>
<p>
<span style="font-family: Tahoma;">8. Sponsor a family that cannot afford to pay  $540</span></p>
<p>
<span style="font-family: Tahoma;">9. Rental of proper garden chairs for the holiday that will fit more seats and be more comfortable. $2000 </span></p>
<p>
<span style="font-family: Tahoma;">10. <u>NER TAMID</u>: The dedicated Eternal Lamp which will have a personalized plaque on it. The regular price was $7,500 but purchase this now for the <em>special holiday price of $5,400</em>.</span></p>
<p class="Remove"> </p>
<span style="font-family: Tahoma;">
<p class="Remove">Wishing you a Shana Tova and a Happy New Year</p>
</span><span style="font-family: Tahoma;">
<p class="Remove"> </p>
</span>
<p>
<span style="font-family: Tahoma;">                                                                                                                                                                     Raizel and Rabbi Nechemia Schusterman</span><span style="font-family: Tahoma;"></span></p>
<p> </p>
<p style="text-align: center;">
<u>
<span style="font-size: 24px;">
<strong> MEMORIAL BOARD INFO</strong></span></u><span style="font-size: 24px;"></span></p>
<table dir="ltr" border="0" cellspacing="0" cellpadding="10" width="650" style="width: 650px; border-collapse: collapse; font-family: Arial; height: 827px; font-size: 10pt">
<tbody>
<tr>
<td bgcolor="#ffffff" height="15" colspan="5">
<p>
<span class="style2">The <strong>Yahrtzeit Memorial</strong>                                                                                                                     <strong>Board</strong> accommodates 60 individual bronze nameplates, (half of which are now full) which will each be 2” x 10” in size. Each nameplate includes a permanent memorial bulb.</span></p>
<p>
<font color="#672B33">
<strong>Names inscribed on the plaque will have their Yahrtzeit observed in the following manner:</strong></font>
                              </p>
<ul>
<li>
<font color="#8E6B31">The memorial bulb will be lit during the week of the yahrtzeit and for al</font>
                                </li>
<li>
<font color="#8E6B31">l Yizkor Services.</font>
                                </li>
<li>
<span style="color: rgb(142, 107, 49);">Yizkor will be said for your deceased  if for some reason you cannot be there.</span></li>
</ul>
<table border="0" cellpadding="10" cellspacing="5" width="25%" dir="ltr" align="right" style="">
<tbody>
<tr>
<td width="75" height="15">
<p style="text-align: center;">Download Form</p>
<p style="text-align: center;">
<a href="/media/pdf/116/thPE1164042.pdf">
<img src="https://w2.chabad.org/media/images/545/EhSt5454996.jpg" alt="PDF.jpg" real_width="204" real_height="204" border="0" width="25" height="25" align="baseline"></a></p>
</td>
</tr>
</tbody>
</table>
<p>
<font color="#8E6B31">The cost for inscription on a bronze nameplate is <strong>$360</strong>. For more information, assistance or to discuss a payment plan, please call 978-977-9111 or email the office at info@jewishepabody.com </font>
                              </p>
<p><span style="color: rgb(142, 107, 49);">Memorialize them forever... purchase a plaque at Chabad. </span>                                                                                                                 <span style="font-size: 10pt; line-height: 1.2;">                                                                                                               </span></p>
</td>
</tr>
<tr>
<td bgcolor="#ffffff" height="15" colspan="5"> <br>
<br>
<span style="color: rgb(142, 107, 49); font-size: 13.3333px;"></span></td>
</tr>
<tr>
<td bgcolor="#632A31" height="15" colspan="5">
<strong>
<font color="#ffffff" face="Tahoma">DONOR INFORMATION (individual ordering the plaque)</font></strong></td>
</tr>
<tr>
<td height="15" width="97">
<span class="style1">
<font color="#632A31" size="2" face="Tahoma">First name</font></span></td>
<td height="15" width="154">
<font color="#632A31" face="Tahoma">
<input tabindex="1" required="true" name="x_first_name" type="text"></font>
                            </td>
<td height="15" width="3"> </td>
<td height="15" width="107">
<span class="style1">
<font color="#723508" size="2" face="Tahoma">
                                  <font color="#723508" size="2" face="Tahoma">
<font color="#632A31" size="2" face="Tahoma">State</font>
                                  </font>
                                </font></span></td>
<td height="15" width="189">
<font color="#723508" face="Tahoma">
<span class="style1"><font color="#632A31" size="1" face="Tahoma">
<input tabindex="5" required="true" name="x_state" type="text"></font></span></font>
                            </td>
</tr>
<tr>
<td height="15" width="97">
<span class="style1">
<font color="#723508" size="2" face="Tahoma">
                                  <font color="#723508" size="2" face="Tahoma">
<font color="#723508" size="2" face="Tahoma">
                                      <font color="#723508" size="2" face="Tahoma">
<font color="#723508" size="2" face="Tahoma">
                                          <font color="#632A31" size="2" face="Tahoma">Last name</font>
                                        </font>
                                      </font>
                                    </font>
                                  </font>
                                </font></span></td>
<td height="15" width="154">
<font color="#723508">
<span class="style1"><font size="1" face="Tahoma">
<font size="1" face="Tahoma">
                                      <font color="#632A31" size="1" face="Tahoma">
<input tabindex="2" required="true" name="x_last_name" type="text"></font>
                                    </font>
                                  </font></span></font>
                            </td>
<td height="15" width="3"> </td>
<td height="15" width="107">
<font color="#632A31" face="Tahoma">Zip</font>
                            </td>
<td height="15" width="189">
<font color="#632A31" face="Tahoma">
<span class="style1"><input tabindex="6" required="true" name="x_zip" type="text"></span></font>
                            </td>
</tr>
<tr>
<td height="15" width="97">
<span class="style1">
<font color="#723508" size="2" face="Tahoma">
                                  <font color="#723508" size="2" face="Tahoma">
<font color="#632A31" size="2" face="Tahoma">Address</font>
                                  </font>
                                </font></span></td>
<td height="15" width="154">
<span class="style1">
<font size="1" face="Tahoma">
                                  <font color="#632A31" size="1" face="Tahoma">
<input tabindex="3" required="true" name="x_address" type="text"></font>
                                </font></span></td>
<td height="15" width="3"> </td>
<td height="15" width="107">
<font color="#632A31" face="Tahoma">Email</font>
                            </td>
<td height="15" width="189">
<font color="#632A31">
<input tabindex="7" required="false" name="x_email" type="text"></font>
                            </td>
</tr>
<tr>
<td height="15" width="97">
<font color="#632A31" face="Tahoma">City</font>
                            </td>
<td height="15" width="154">
<font color="#632A31">
<span class="style1"><input tabindex="4" required="true" name="x_city" type="text"></span></font>
                            </td>
<td height="15" width="3"> </td>
<td height="15" width="107">
<span class="style1">
<font color="#632A31" size="2" face="Tahoma">Phone</font></span></td>
<td height="15" width="189">
<span class="style1">
<font color="#632A31" size="1" face="Tahoma"><input tabindex="8" required="true" name="x_phone" type="text"></font></span></td>
</tr>
<tr>
<td bgcolor="#ffffff" height="15" colspan="5"> </td>
</tr>
<tr>
<td bgcolor="#632A31" height="15" colspan="5"><br>
<font color="#723508" face="Tahoma">
<strong>
<font color="#ffffff">DEDICATION PLAQUE <br>
</font></strong></font>
                              <font color="#ffffff">
<font face="Tahoma">I would like to dedicate</font>
                              </font>                                                                                                     <font color="#ffffff">                                                                                                          <select tabindex="8" style="width: 40px" name="plaquededication how many">
<option value="0" selected>0</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
</select><font face="Tahoma">plaque/s at $360 per name/plaque.</font>
                              </font>
                            </td>
</tr>
<tr>
<td height="15" colspan="5">
<font color="#723508">
<font face="Tahoma">Please inscribe the following name on the memorial tablet:</font>
                              </font>
                            </td>
</tr>
<tr>
<td bgcolor="#D9CCA4" height="15" colspan="2">
<strong>
<font color="#723508">
                                  <font color="#632A31" face="Tahoma">PLAQUE #1</font>
                                </font></strong></td>
<td height="15"> </td>
<td bgcolor="#D9CCA4" height="15" colspan="2">
<strong>
<font color="#723508">
<font color="#632A31" face="Tahoma">PLAQUE #2</font>
                                </font></strong></td>
</tr>
<tr>
<td bgcolor="#FBF9F4" height="15">
<font color="#723508">
<font color="#632A31" face="Tahoma">Last Name</font>
                              </font>
                            </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#632A31" size="1" face="Tahoma">
<input id="deceased_last" tabindex="8" required="true" name="deceased_last" type="text"></font>
                            </td>
<td height="15"> </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#723508">
<font color="#632A31" face="Tahoma">Last Name</font>
                              </font>
                            </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#632A31" size="1" face="Tahoma">
<input id="deceased2_last" tabindex="9" required="false" name="deceased2_last" type="text"></font>
                            </td>
</tr>
<tr>
<td bgcolor="#FBF9F4" height="15">
<font color="#723508">
<font color="#632A31" face="Tahoma">First Name</font>
                              </font>
                            </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#632A31" size="1" face="Tahoma">
<input id="deceased_first" tabindex="8" required="true" name="deceased_first" type="text"></font>
                            </td>
<td height="15"> </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#723508">
<font color="#632A31" face="Tahoma">First Name</font>
                              </font>
                            </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#632A31" size="1" face="Tahoma">
<input id="deceased2_first" tabindex="9" required="false" name="deceased2_first" type="text"></font>
                            </td>
</tr>
<tr>
<td bgcolor="#FBF9F4" height="15">
<font color="#723508">
<font color="#632A31" face="Tahoma">Hebrew Name</font>
                              </font>
                            </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#632A31" size="1" face="Tahoma">
<input id="deceased_hebrew" tabindex="8" required="false" name="deceased_hebrew" type="text"></font>
                            </td>
<td height="15"> </td>
<td bgcolor="#FBF9F4" height="15">
                              <font color="#723508">
<font color="#632A31" face="Tahoma">Hebrew Name</font>
                              </font><br>
                                     </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#632A31" size="1" face="Tahoma">
<input id="deceased_hebrew" tabindex="9" required="false" name="deceased2_hebrew" type="text"></font>
                            </td>
</tr>
<tr>
<td bgcolor="#FBF9F4" height="15">
<font color="#723508">
<font color="#632A31" face="Tahoma">Father's Hebrew Name</font>
                              </font>
                            </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#632A31" size="1" face="Tahoma">
<input id="deceased_fathers_hebrew" tabindex="8" required="false" name="deceased_fathers_hebrew" type="text"></font>
                            </td>
<td height="15"> </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#723508">
<font color="#632A31" face="Tahoma">Father's Hebrew Name</font>
                              </font>
                            </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#632A31" size="1" face="Tahoma">
<input id="deceased_fathers_hebrew" tabindex="9" required="false" name="deceased2_fathers_hebrew" type="text"></font>
                            </td>
</tr>
<tr>
<td bgcolor="#FBF9F4" height="15">
<font color="#723508">
<font color="#632A31" face="Tahoma">What was the day of passing?</font>
                              </font>
                            </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#632A31" size="1" face="Tahoma"><input id="deceased_DOP" tabindex="8" required="false" name="deceased_DOP" type="text"><br>
                                    mm/dd/yy</font>
                            </td>
<td height="15"> </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#723508">
<font color="#632A31" face="Tahoma">What was the da<br>
</font>
                              </font>
                              <font color="#723508">
<font color="#632A31" face="Tahoma">y of passing?</font>
                              </font>
                            </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#632A31" size="1" face="Tahoma"><input id="deceased_DOP" tabindex="9" required="false" name="deceased2_DOP" type="text"><br>
                                    mm/dd/yy</font>
                            </td>
</tr>
<tr>
<td bgcolor="#FBF9F4" height="15">
<span style="color: rgb(99, 42, 49);">Time of day?</span></td>
<td bgcolor="#FBF9F4" height="15">
<font color="#632A31" size="1" face="Tahoma"><input id="deceased_DOP" tabindex="8" required="false" name="deceased_DOP" type="text"><br>
                                    e.g. around 9:30 pm <br type="_moz">
</font>
                            </td>
<td height="15"> </td>
<td bgcolor="#FBF9F4" height="15">
<font color="#723508">
<font color="#632A31" face="Tahoma">Time of day?</font>
                              </font>
                            </td>
<td bgcolor="#FBF9F4" height="15"><input id="deceased_DOP" tabindex="8" required="false" name="deceased_DOP" type="text"><br style="color: rgb(99, 42, 49); font-family: Tahoma; font-size: x-small; line-height: 13.333333969116211px; background-color: rgb(251, 249, 244);">
<span style="color: rgb(99, 42, 49); font-family: Tahoma; font-size: x-small; line-height: 13.333333969116211px; background-color: rgb(251, 249, 244);">e.g. around 9:30 pm</span></td>
</tr>
<tr>
<td height="15" colspan="5"> </td>
</tr>
<tr>
<td bgcolor="#632A31" height="15" colspan="5">
<font color="#ffffff" face="Tahoma"><strong>PAYMENT DETAILS <br>
</strong><strong>
<span style="font-size: 10px">(Alternatively you may print this form and mail with a check to Chabad of Peabody, PO Box 2154, Peabody MA 01960)</span></strong></font>
                            </td>
</tr>
<tr>
<td height="15" width="97">
<span class="style1">
<font color="#632A31" size="2" face="Tahoma">Name on card</font></span></td>
<td height="15" width="154">
<font color="#632A31">
<input tabindex="17" required="true" name="x_name_on_card" type="text"></font>
                            </td>
<td height="15" width="3"> </td>
<td height="15" width="107">
<span class="style1">
<font color="#632A31" size="2" face="Tahoma">Amount to be charged</font></span></td>
<td height="15" width="189">
<font color="#723508">
<font color="#632A31" face="Tahoma"><input tabindex="18" required="true" name="x_amount" type="text"></font>
                              </font>
                            </td>
</tr>
<tr>
<td height="15" width="97">
<span class="style1">
<font color="#632A31" size="2" face="Tahoma">Card Number</font></span></td>
<td height="15" width="154">
<font color="#632A31">
<input tabindex="19" required="true" name="x_card_num" type="text"></font>
                            </td>
<td height="15" width="3"> </td>
<td height="15" width="107">
<span class="style1">
<font color="#632A31" size="2" face="Tahoma">Card Type</font></span></td>
<td height="15" width="189">
<font color="#632A31">
<select tabindex="20" style="width: 157px" name="x_type">
<option value="Please select" selected>Please select</option>
<option value="American Express">American Express</option>
<option value="Visa">Visa</option>
<option value="Mastercard">Mastercard</option>
<option value="Discover">Discover</option>
</select></font>
                            </td>
</tr>
<tr>
<td height="15" width="97">
<span class="style1">
<font color="#632A31" size="2" face="Tahoma">Exp. Date</font></span></td>
<td height="15" width="154">
<font color="#632A31"><select tabindex="21" name="x_exp_month">
<option value="Month" selected>Month</option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select><select tabindex="22" name="x_exp_year">
<option value="Year" selected>Year</option>
<option value="2013">2013</option>
<option value="2014">2014</option>
<option value="2015">2015</option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
</select></font>
                            </td>
<td height="15" width="3"> </td>
<td height="15" width="107"><span class="style1">
<font color="#632A31" size="2" face="Tahoma">CVV Code</font></span><br>
                                     </td>
<td height="15" width="189">
<font color="#632A31"><input tabindex="23" size="5" required="true" style="width: 42px; height: 22px" name="x_card_code" type="text"><font face="Tahoma">
<font size="1">3 digits on back of card</font>
                                </font>
                              </font>
                            </td>
</tr>
<tr>
<td height="15"> </td>
<td height="15"> </td>
<td height="15"> </td>
<td height="15"> </td>
<td height="15"> </td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<p> </p>
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