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Tree of Life Leaf Order
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Yes I want to order a Tree of Life Leaf
Yes I want to order a Tree of Life Leaf
Each leaf is $200. Your order will be placed as soon as payment has been received.
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Please print your inscription.
You may use a maximum of 25 characters per line (space included) and a maximum of 5 lines.
Would you like an acknowledgement sent to anyone?
No
Yes
Please send an acknowledgement to:
Address:
City:
State:
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
How do you want your name listed on the acknowledgement?
Ex. Mr. & Mrs. John Doe, Aunt Jane and Uncle John, etc.
Thu, September 12 2024 9 Elul 5784