SCI Order Form

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SCI Order Form

SCI Order Form

Standard or Custom? *

If ordering an 8 or 12-page booklet, please choose custom.

Contract Number *

Amount Collected *

The total dollar amount billed to the customer for Memento's services.

Todays Date *

Funeral Home *

Funeral Home Representative First Name *

Funeral Home Representative Last Name *

Funeral Home Representative Email *

We will email an order confirmation to this email address.

Name of Decedent *

Date of Birth *

Date of Death *

Day Of Service *

Date of Service *

Service Location/Time *

If you have this info available, please provide as the family sometimes forgets.

Approval Contact First Name *

Approval Contact Last Name *

Approval Contact Phone *

Approval Contact Email *

Approval Relationship to Decedent

Optional

Is there a secondary contact person?

Please only provide if this person is authorized for final print approval.

Secondary Approval Contact First Name

Secondary Approval Contact Last Name

Secondary Approval Contact Phone

Secondary Approval Contact Email

Secondary Approval Relationship to Decedent

Optional

Who is submitting content?

Program Quantity *

Custom Programs *

Standard Programs (Formerly Plan) *

*No themes for "Standard" orders please. 8 and 12 Page Booklets are custom only. If you need an 8 or 12 page booklet, please go back to the first form field and change the type to "Custom".

Order Notes

Design Instructions - Theme(custom only)/Colors/etc *

Additional Products ("Add Ons")

Digital Program (Online Flipbook with QR code $125)
QR Code Table Top Display (8.5x11 $39)
Prayer Cards/Bookmarks (3.6x8.6")
XL Prayer Cards (5.5x8.5")
Wake Cards (3x4")
Flat Thank You Cards w/ Envelopes (4.25x5.5")
Retractable Banner with Stand
Folded Thank You Cards w/ Envelopes (8.5x5.5")
Casket Panel
Matching Register Book

If ordering only an add on (without programs), please remember to add $75 design fee.

Bookmark or Prayer Card Quantity

QR Code Table Top Display Quantity

Wake Card Quantity

Bookmark / Prayer Card / Wake Card Additional Options

Lamination (add $25 per 100 quantity)
Rounded Corners (add $25 per 100 quantity)

Content for Back of Bookmark / Prayer Card / Wake Card

Thank You Card / Envelopes Quantity

Retractable Banner with Stand Quantity

Casket Panel Dimensions

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