Memory Lantern Order Form

Lantern Designs Available*

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)

Your Name

First NameLast Name

Your Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Is shipping address same as billing address?

YesNo

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.

Payment Methods

Debit or Credit Card

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