A PERMANENT COMMEMORATIVE IN THE SYNAGOGUE LOBBY

Qty. Price   Total Leaves   0   1  2  3  4  5  6  7  8  9 $180.00 Acorns*   0   1  2  3  4  5 $450.00 Stones*   0   1  2  3 $540.00 Total amount =  $ Brass & Bronze Acorn Bronze Donor Stone

* Limited number of Acorns and Stones available.

( The synagogue is charged 2½% )

OR

Mail this form with your check to:     Tree of Life C/O     Congregation B'nai Tikvah     1001 Finnegans Lane     North Brunswick, NJ 08902

Sherry Valan, 732 297-0696