Leaf Order Form: Tree of Life & Tree of Remembrance

TREE OF LIFE & TREE OF REMEMBRANCE LEAVES

The Tree of Life offers a wonderful way to honor a friend or loved one for a special occasion, such as an anniversary, birthday, Bar or Bat Mitzvah, or any special occasion. The Tree of Remembrance is a beautiful way of memorializing a loved one. Leaves are $150 and are prominently displayed in the Sanctuary foyer as you enter from Simon Hall. Please complete this form (3% FEE) or call the Temple office at (757) 625-4295 to order.
Process Date of this Transaction*

MonthDayYear
Your Name*

First NameLast Name
OST MemberNon-Member
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
The Tree of LifeThe Tree of Remembrance
In Honor of:*
Please enter the name EXACTLY as you wish it to appear on the leaf.
Honored by:*
Please enter the name EXACTLY as you wish it to appear on the leaf.
In Memory of:*
Please enter the name EXACTLY as you wish it to appear on the leaf.
Remembered by:*
Please enter the name EXACTLY as you wish it to appear on the leaf.
Send acknowledgement to:
INCLUDE NAME & ADDRESS
Short message on leaf (optional):
Total Purchase Amount for Leaf:*
Will Send CheckBill My Temple AccountBill My Credit Card* (ENTER CREDIT CARD INFORMATION BELOW)

Payment

USDOhef Sholom Temple Donation

Payment Method
Credit	Express

TREE OF LIFE & TREE OF REMEMBRANCE LEAVES