Tree of Life Request Form


Temple Or Rishon has a beautiful Tree of Life Plaque. This plaque provides an opportunity for us to honor special people in our lives, life cycle events, such as Bar/Bat Mitzvahs, birthdays, anniversaries, weddings, as well as those who have touched our lives, but are no longer with us. You can honor your loved ones for a donation of $125.00 per leaf. The leaves are done locally and are ready in only a few days.

To purchase a Tree of Life Leaf, please print this form, fill it out, enclose a check for $125.00, and mail it to:

   Temple Or Rishon
   P.O. Box 857
   Orangevale, CA 95662-0857

My name and phone number: ____________________________________________________________________

I would like to order a Tree of Life Leaf. I would like it to read:

Line 1: ______________________________________________________________________________________
Line 2: ______________________________________________________________________________________
Line 3: ______________________________________________________________________________________

(Leaves hold three lines of verbiage. Allow for approximately 15 characters on lines 1 and 3 and 25 characters on line 2.)

Thank you for your contribution.