Printer Friendly Form

This Form Is To Be Printed Out And Manually Filled In To Place An Order. The Customer Will Need To Pick Out Their Background And Verse On Line.
Your first name: Your last name:
Your address: City, State, Zip:
If you have an Email Address please enter it here --->
Please enter your phone #, incase we have questions and need to contact you for more information --->
Loved One's first name: Middle initial & Last:
Date of birth: Date deceased:
2ND Loved One's name: Middle initial & Last:
Date of birth: Date deceased:
Background letter choice: Verse number choice:
Add any other pertinent information here. Such as which person in your picture is the one to use or a personal verse you would like us to use on your tribute.
Order the size and quantity of each memorial --->
 Quantity of 3 1/2 X 5 @ $4.80 each:
Their is an initial set up fee of $31.50 Quantity of 5 X 7 @ $5.25 each:
The shipping charge is $5.25 Quantity of 8 X 10 @ $6.30 each:
If you would like the OnLine Memorial Free for the first year, enter Free after the dollar sign.
After 1 year the renewal fee is $5.25 .
You must also list an Email address for this service.
Mail this form, your loved one's picture & payment to:

Sweet Memories

7521 CTH C

Manitowoc, WI 54220

 Total up your order

Set up fee $31.50

Shipping charge $5.25

Price of memorial photos $

OnLine Memorial $

Your total order amount $
Date: Signature:
Please remember to send your Loved One's photo.
Thank You for your order