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Tree of Life Leaf Order Form
Please verify reCaptcha before submitting the form.
TREE OF LIFE LEAF ORDER FORM
Thank you for choosing to honor your friend or family member with the purchase of a leaf on the Congregation Bonai Shalom Tree of Life. This wonderful gift will honor that special person for many years to come. Please complete the following with the words you want inscribed on your leaf. (Please Note: You are responsible for proofing this information.) The name of the person you are honoring will be written in ALL CAPITAL LETTERS, and we recommend that it be placed on the center line. For reasons of style and space we will use “&” instead of the word “and”. The wording will automatically be centered within each line on the leaf by the engraver.
First, what would you like engraved on the leaf?
Line 1 (17 characters Max)
Line 2 (23 characters MAX)
Line 3 (25 character MAX) - Name of Honorees in ALL CAPS suggested
Line 4 (23 characters MAX)
Line 5 (17 character MAX) - if you are using a date, we recommend putting it on this line
Now we'll get some information about you. The price for each leaf is $180.
First Name
Last Name
Phone Number
Email Address
Address Line 1
Address Line 2
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
Please click here to confirm you'd like to purchase one leaf for $180 to be added to our Tree of Life
Please click here to confirm you'd like to purchase one leaf for $180 to be added to our Tree of Life
If you have any questions, please contact the Congregation Bonai Shalom office at 303-442-6605 or email us at office@bonaishalom.org.
The next page will take you to payment ($180 fee for each leaf)
Mon, May 12 2025 14 Iyyar 5785