Order Form ________________________________________________________ ________________________________________________________ RESPONSIBLE PARTY Name Phone Email City/State/Zip ________________________________________________________ ________________________________________________________ PROGRAM FOR Name Date of Birth Date of Departure ________________________________________________________ ________________________________________________________ VISITATION / WAKE / VIEWING INFORMATION Date Time Location (type N/A if this service is a cremation) Address City/State/Zip ________________________________________________________ ________________________________________________________ INTERMENT INFORMATION Cemetery Name (type N/A if this service is a cremation) Address City/State/Zip ________________________________________________________ ________________________________________________________ FUNERAL SERVICE INFORMATION Name of Funeral Home Funeral Director Date Time Location (type N/A if this service is a cremation) Address City/State/Zip ________________________________________________________ ________________________________________________________ DELIVERY INFORMATION Address City/State/Zip Funeral Director ________________________________________________________ ________________________________________________________ Program Program Type (select one) SINGLE FOLDTRIFOLDBOOKLET 4 pages - Printed in full color on Glossy Card Stock – Folded Includes: Design + QR Code & Digital Version ________________________________________________________ Choose Size (select one) SMALLMEDIUMLARGE (8.5”x5.5” Folded) (8.5”x7” Folded) (8.5”x11” Folded) 6 pages - Printed full color on Glossy Cards Stock – Folded ________________________________________________________ Type of Folding (select one) Horizontal FoldVertical Fold Choose Size (select one) SMALLMEDIUMLARGE (8.5”x3.67” Folded) (8.5”x4.67” Folded) (11”x5.67” Folded) Printed inf full color on Glossy Card Stock paper ________________________________________________________ Number Of Pages 8121620 Choose Size (select one) SMALLMEDIUMLARGE (8.5”x5.5” Folded) (8.5”x7” Folded) (8.5”x11” Folded) ________________________________________________________ Quantity ________________________________________________________ ________________________________________________________ ADD ON Digital Obituary/Qr Code Pictorial Memories Video Poster 12"x18"(Qty) Poster 16"x20"(Qty) Poster 24"x36"(Qty) Custom Register Book(Qty) Custom Thank You Cards(Qty) Social Media Post Digital Register Book Custom Register Book Obituary Typing(Qty) Custom Memorial Cards(Qty) ________________________________________________________ ________________________________________________________ PROGRAM SPECIFICATIONS ________________________________________________________ ________________________________________________________ FRONT PAGE Please enter how you want to title the program, Ex: Celebrating the life of, or In Loving memory of, etc Name Date of Birth Date of Departure Please specify how you want the DOB & DPD to be named in the program: Alpha/OmegaSunrise/SunsetOur Gift / God’s GiftOther Color Theme Please let us know if you have any special requests for your design: Front Picture / Main Picture / Cover Picture Please specify if there is any other picture or pictures that need to be placed in any specific way: ________________________________________________________ PAGE 2 ________________________________________________________ PAGE 3 ________________________________________________________ PAGE 4 ________________________________________________________ PAGE 5 ________________________________________________________ PAGE 6 ________________________________________________________ PAGE 7 ________________________________________________________ PAGE 8 ________________________________________________________ PAGE 9 ________________________________________________________ PAGE 10 ________________________________________________________ PAGE 11 ________________________________________________________ PAGE 12 ________________________________________________________ PAGE 13 ________________________________________________________ PAGE 14 ________________________________________________________ PAGE 15 ________________________________________________________ PAGE 16 ________________________________________________________ PAGE 17 ________________________________________________________ PAGE 18 ________________________________________________________ PAGE 19 ________________________________________________________ PAGE 20
