Memory Loom

A gift in the present, a memory of the past, and a legacy for the future.
Welcome to the Memory Loom Project Builder. Instead of giving you a limited selection of different packages that might not exactly suit your needs, we have this form that allows your Memory Loom film to be tailored exactly to your wishing.
General Information
Your Name (Buyer)

First NameLast Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
PhoneEmailOther
Each film will be delivered on a metal flash drive inside of a custom-engraved metal & aluminum chest. This will give your Memory Loom film a sense of presence, even when not being actively viewed.

Please specify if you desire to purchase additional boxes, to send to friends or family.
1 (Included)2 $2003 $4004 $6005 $800
Delivery is available to customers living within a 50-mile radius of Loveland, CO.

Otherwise, the final film will be shipped to the address(s) of your choosing.
ShippingLocal Delivery
YesNo
1 year1-2 years3-4 years5-10 years
1 (included)2 $203 $40
Delivery Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Delivery Address #2 (Optional)

Street Address

Street Address Line 2

CityState

Zip Code
Delivery Address #3 (Optional)

Street Address

Street Address Line 2

CityState

Zip Code
Film Options
IndividualCouple
Complete life storyIndividual memoriesLife story & individual memoriesOther
1 hr (Only available when other subjects are interviewed)2 hrs3-4 hrs5-6 hrs
1234None
YesNo
Where will the additional members be filmed? (Please include the location of each separate interview.)
30 mins1 hr1.5 hrs2 hrs
No1 hr1.5 - 2 hrs2-3 hrs
None25+/-50+/-75+/-
DigitalPrinted/framed photosFilm/slidesOther
Yes
YesNoOther
If 'Yes', please describe what you're desiring to be filmed:
I agreeI disagree
Film Subject Information (individual on-camera)
Subject's Name:*

First NameLast Name
Phone Number:
Format: (000) 000-0000.
Primary Filming Location:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
If "Yes", what is the best method of entry?
Relationship:
If "Other", what is your relationship?
What should we know about your special someone?
What topics would you like to be in the film? (You will be completing a more comprehensive form on this once a project is started. Please provide a brief description of your vision.)
How did you hear about Memory Loom?
Project Requirements
YesNo
Filming deadline (optional):

MonthDayYear
Date
12345
12345No, the priority is getting their stories captured.
Final film deadline (optional):

MonthDayYear
Date
Special Requests
Discount Code:
Discount will not be applied until final invoice.
Project Total ($):
Once you submit a project bid, we will review the form and reach out to discuss next steps towards creating your Memory Loom documentary.
Should be Empty:

A gift in the present, a memory of the past, and a legacy for the future.