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 [group programtype-desc-Single-fold] 4 pages - Printed in full color on Glossy Card Stock – Folded Includes: Design + QR Code & Digital Version ________________________________________________________ Choose Size (select one) SMALLMEDIUMLARGE [group singlefold-size-SMALL-desc] (8.5”x5.5” Folded) [/group] [group singlefold-size-MEDIUM-desc] (8.5”x7” Folded) [/group] [group singlefold-size-LARGE-desc] (8.5”x11” Folded) [/group] [/group] [group programtype-desc-Trifold] 6 pages - Printed full color on Glossy Cards Stock – Folded ________________________________________________________ Type of Folding (select one) Horizontal FoldVertical Fold Choose Size (select one) SMALLMEDIUMLARGE [group Trifold-size-SMALL-desc] (8.5”x3.67” Folded) [/group] [group Trifold-size-MEDIUM-desc] (8.5”x4.67” Folded) [/group] [group Trifold-size-LARGE-desc] (11”x5.67” Folded) [/group] [/group] [group programtype-desc-Booklet] Printed inf full color on Glossy Card Stock paper ________________________________________________________ Number Of Pages 8121620 Choose Size (select one) SMALLMEDIUMLARGE [group Booklet-size-SMALL-desc] (8.5”x5.5” Folded) [/group] [group Booklet-size-MEDIUM-desc] (8.5”x7” Folded) [/group] [group Booklet-size-LARGE-desc] (8.5”x11” Folded) [/group] [/group] ________________________________________________________ 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 [group group-digi-reg-book] Digital Register Book [/group] 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 [group group-dob-dod-label] [/group] 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: [group group-pages2-4] ________________________________________________________ PAGE 2 ________________________________________________________ PAGE 3 ________________________________________________________ PAGE 4 [/group] [group group-pages5-6] ________________________________________________________ PAGE 5 ________________________________________________________ PAGE 6 [/group] [group group-pages7-8] ________________________________________________________ PAGE 7 ________________________________________________________ PAGE 8 [/group] [group group-pages9-12] ________________________________________________________ PAGE 9 ________________________________________________________ PAGE 10 ________________________________________________________ PAGE 11 ________________________________________________________ PAGE 12 [/group] [group group-pages13-16] ________________________________________________________ PAGE 13 ________________________________________________________ PAGE 14 ________________________________________________________ PAGE 15 ________________________________________________________ PAGE 16 [/group] [group group-pages17-20] ________________________________________________________ PAGE 17 ________________________________________________________ PAGE 18 ________________________________________________________ PAGE 19 ________________________________________________________ PAGE 20 [/group]
Recent Comments