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Create your ORDER & send to us directly! Payment is required upon confirmation. Name of Deceased or WHOM service is being held for

Funeral Home or Mortuary location handling service

DESIGN OPTIONS

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ORDER OPTIONS

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COLOR CHOICES & SPECIAL REQUESTS

DELIVERY DUE BY:

Please indicate DATE OF SERVICE

CARD MESSAGE

CONTACT INFO - Person ordering ( name & direct phone number)

Payment Method

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PAYMENT IS REQUIRED UPON CONFIRMATION.

A REP WILL CONTACT YOU DIRECTLY FOR

CHARGE ACCOUNTS AND CREDIT CARD PAYMENTS...

THANK YOU

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