PocketBook Memory Video Player Order Form

WELCOME!

First, Let's Get Organized!
TIP: Don't overthink your selections. Each photo will have it's own unique story and will be appreciated, regardless.
- Select your photos and/or video clips .
- Not sure which photos/videos to use? View our Life Story Content Guide for help.
- Number each in the order in which you would like them to appear (Name the file, starting with: 01, 02, 03, etc.).
- Optional Captions : Write your own captions for each photo/video. (Suggestion: Name, date, location and/or event) Download Caption Form
Final Steps:
1. - Complete Guest Information

- Select Portrait Photo for Cover

- Add Personal Family Message

- Select Cover Design Theme

- Select Ambient Music (2 songs).

2. Optional: Download, Complete and Save PocketBook Caption Form (fillable PDF) which will contain your Numbered Photos/Video Clips with Optional Captions.

- Click here to download

- Once saved, return the completed form.

3. Review Additional Options to purchase and complete Payment Process (if purchasing additional options).

4. Review online Order Form then Submit.

5. You will use the Upload Link you received in the Reply Email to send your photo and video clip files.

Order Information

Welcome!
Order Number: *
If you do not have an Order Number, type NA and we will contact you with any questions.
Contact Name: *

First Name Last Name
Email *
example@example.com

Section 1: Guest(s) of Honor
Name(s) of the Guest(s) of Honor *
What name(s) or title do you want on the screen and cover? See image below. *

Section 2: Customize

Choose your Cover Design, Personal Family Message and Music
Which photo do you want on the cover as the Portrait Photo? *
Please specify by number of the submitted photos.
Type a short Personal Message for the inside cover. If you don't want to include one, please type NA *
Choose your Cover Design Theme *
Ambient Music Selections

You have two (2) complimentary choices.
Click here to listen: Ambient Music Selections
Ambient Music Selection #1 :To choose music, please select from the drop-down. *
Note: Up to 2 Music Selections are available at no extra charge except for Premium Music+, which are available for an additional $10/each. They are indicated with an asterisk (*) preceding the selection title. Extra Music Selections are $5/each for regular ones.
Ambient Music Selection #2 :To choose music, please select from the drop-down. If you do not want another music selection, choose "None" *
Note: Up to 2 Music Selections are available at no extra charge except for Premium Music+, which are available for an additional $10/each. They are indicated with an asterisk (*) preceding the selection title. Extra Music Selections are $5/each for regular ones.
Ambient Music Selection #3 :To choose music, please select from the drop-down. If you do not want another music selection, choose "None" *
Note: Up to 2 Music Selections are available at no extra charge except for Premium Music+, which are available for an additional $10/each. They are indicated with an asterisk (*) preceding the selection title. Extra Music Selections are $5/each for regular ones.
Ambient Music Selection #4 :To choose music, please select from the drop-down. If you do not want another music selection, choose "None" *
Note: Up to 2 Music Selections are available at no extra charge except for Premium Music+, which are available for an additional $10/each. They are indicated with an asterisk (*) preceding the selection title. Extra Music Selections are $5/each for regular ones.
Music Total

Order Review
- Name of Guest(s): {namesOf}
- Name/Title on Screen: {whatNames}
- Cover Design Theme: {typeA}
- Personal Family Message: {typeA14}
- Ambient Music Selection #1: {ambientMusic211}
- Ambient Music Selection #2: {ambientMusic}
- Ambient Music Selection #3: {ambientMusic311}
- Ambient Music Selection #4 : {ambientMusic312}
Extra Music Selections are $5/each and any Premium Music+ Selections are $10/each. - Current Music Total: ${musicTotal}

Section 3: Photo/Video Info for Life Story Video
Please use the Guide Form available here: PocketBook Caption Form to number the photos/video clips & complete optional captions. You will submit this with your photo/video clip files using the Upload Link available in your Reply Email.

Need help selecting which Photos/Video Clips to use?

Click here for a Life Story Content Guide

Sponsor Package: 35 Photos and 2 Video Clips. If you would like more, you may purchase extras.

How many photos will you be sending? *
Standard Package includes 35 photos. If you enter in more than 35, submit the overall total number, including the original 35. (Maximum amount of photos is 75) Additional photos are extra.

Below are the charges for additional photos. The costs will be calculated and you will be charged at the end of the process. *
Extra Photos are $1.25 each
Photo Extras

How many video clips will you be sending? *
Sponsor Package includes 2 video clips. If you wish to include more, submit the overall total number, including the original two. (Maximum allowed video clips is 8). Additional clips are extra.

Below are the charges for additional video clips. The costs will be calculated and you will be charged at the end of the process. *

1 (3 total) - $5 2 (4 total) - $10 3 (5 total) - $15 4 (6 total) - $20 5 (7 total) - $25 6 (8 total) - $30
Video Extras

Order Payment. If you want to view Additional Options for Your Pocketbook Memory Order, click “Yes” below.

Yes - Additional Options No - I am done

Would you like to add an extra copy of a PocketBook Memory video player to your package? Choose how many below or "No" *
Cost is $60 each
Would you like to add a USB Drive to your PocketBook Memory Package? Choose how many below or "No" *
Cost is $25 each
Would you like to add a DVD to your PocketBook Memory Package? Choose how many below or "No" *
Cost is $15 each
Would you like to add Online Hosting to your PocketBook Memory Package? *
Cost is $15 for 6 months of hosting
Pack Extras

Total Cost A
Order Review:

Please review the Package Extras and Total Cost.
Extra Copy of Memory Care Pocketbook Video: {wouldYou156}

USB Copies: {wouldYou157}

DVD Copies: {wouldYou158}

Hosting: {wouldYou}

Extras Total: ${packExtras}

Extra Photos: ${photoExtras}

Extra Video Clips: ${videoExtras}

Extra & Music+ Cost: ${musicTotal}

Total Cost: ${totalCost}
Total Cost B

Final Cost

Payment - please enter your card information below to place your order using SSL technology thru Stripe Payment. *

USD Description

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Should be Empty:

WELCOME!

Final Steps:

Order Information

Section 1: Guest(s) of Honor

Section 2: Customize

Ambient Music Selections

Order Review

Section 3: Photo/Video Info for Life Story Video

Order Review: