Online Information Form
"Providing family history preservation for generations to come!"
Youtube
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Interview address
*
When should we call you to discuss The Legacy Gift? Date/Time
*
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Best Date/Time for The Legacy Gift to film your interview session?
*
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
What would be some great questions for us to ask in the interview session?
*
How long would you like the interview session filmed?
*
Please Select
1 - 2 hours
3 - 4 hours
5 - 6 hours
7 - ** hours
How many people are we interviewing in the session?
*
How many professional photos of the family members being interviewed would you like?
*
Would you like background music in the interview session video?
*
Please Select
Yes
No
Would you like personal photos edited into the video? If so roughly how many?
*
Please Select
1 - 5
6 - 10
11 - 15
16 - 20
20+
Contact us at: (908) 777-1327
Serving PA,NJ,NY, and surrounding areas!
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