Memory Lantern Order Form

Lantern Designs Available
prevnext( X )
Basic Lantern
Basic lantern with your choice of color. Be sure to upload your pictures so they can be converted to the panes in the lantern.

$100.00 Base Color



Flat Cap with Hoop
Basic lantern with your choice of color. Be sure to upload your pictures so they can be converted to the panes in the lantern.

$115.00 Base Color



Accented Flat Cap with Hoop
Accented lantern with your choice of colors. Be sure to upload your pictures so they can be converted to the panes in the lantern.

$120.00 Base ColorAccent Color



Accented Domed Cap
Accented lantern with a dramatic domed cap and accented in your choice of colors. Be sure to upload your pictures so they can be converted to the panes in the lantern.

$145.00 Base ColorAccent Color



Total

$0.00
Upload the Pictures you want used in your lantern or lamp.

Be sure to upload 4 pictures for the lantern. (jpg, jpeg, png)
Cancelof
Your Name

First NameLast Name
Your Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Is shipping address same as billing address?
Shipping Address

Street Address

Street Address Line 2

CityState

Zip Code
Notes or Special Request:
Wanted a different color selection or notes for your order.

Debit or Credit Card

Choose from one of the PayPal options to make your payment.