Order Form Beta ________________________________________________________ ________________________________________________________ RESPONSIBLE PARTY Name Phone Email City/State/Zip ________________________________________________________ ________________________________________________________ PROGRAM FOR Name Date of Birth Date of Departure ________________________________________________________ ________________________________________________________ VISITATION / WAKE / VIEWING INFORMATION Date Time Location (N/A - She will be cremated) Address City/State/Zip ________________________________________________________ ________________________________________________________ INTERMENT INFORMATION Name (N/A - She will be cremated) Address City/State/Zip ________________________________________________________ ________________________________________________________ FUNERAL SERVICE INFORMATION Date Time Location (N/A - She will be cremated) Address City/State/Zip Funeral Director ________________________________________________________ ________________________________________________________ DELIVERY INFORMATION Address City/State/Zip Funeral Director ________________________________________________________ ________________________________________________________ Program Program Type (Mark the circle) SINGLE FOLDTRIFOLDBOOKLET 4 pages - Printed full color on 120lbs Glossy Cards Stock – Folded Includes: Design + QR Code & Digital Version ________________________________________________________ Choose Size (Mark the circle) SMALLMEDIUMLARGE (8.5”x5.5” Folded) (8.5”x7” Folded) (8.5”x11” Folded) 6 pages - Printed full color on 120lbs Glossy Cards Stock – Folded ________________________________________________________ Type of Folding (Mark the circle) Horizontal FoldVertical Fold Choose Size (Mark the circle) SMALLMEDIUMLARGE (8.5”x3.67” Folded) (8.5”x4.67” Folded) (11”x5.67” Folded) Printed full color Cover printed on 120lbs Glossy Cards Stock Inside pages printed on 100lbs gloss paper ________________________________________________________ Number Of Pages 8121620 Choose Size (Mark the circle) SMALLMEDIUMLARGE (8.5”x5.5” Folded) (8.5”x7” Folded) (8.5”x11” Folded) ________________________________________________________ Quantity ________________________________________________________ ________________________________________________________ ADD ON E-Obit/Qr Code Pictorial Memories Video Poster 12"x18"(Qty) Poster 16"x20"(Qty) Poster 24"x36"(Qty) Custom Register Book(Qty) 4x6 E-Obit Cards(Qty) Custom Thank You Cards(Qty) Social Media Post Digital Register Book Custom Prayer Cards(Qty) Cards Mailing Service(Qty) Custom Website Services(Qty) Social Media Management(Qty) Custom Register Book - Soft Cover(Qty) Custom Register Book - Hard Cover(Qty) Obituary Typing(Qty) Mailing Services of Thank you 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
