Booking Form - Adult Keepsake Service (Age 3 +)
Thank you for putting your trust in us to capture these precious keepsakes. Once you click the submit button you will be directed to a confirmation page, and we will be in contact with you to confirm a time to visit. If you have NOT heard from us with in 12 hours, or if it is an urgent request, please call Koby on 0425 827 746
Business Name
*
Location / Address for Appointment
*
Service Required
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Fingerprint Moulds & Scans ($220)
Fingerprint Moulds & Scans PLUS Hand Ink Prints ($330)
Hand Ink Prints Only ($220)
Face Casting ($2000)
Full Hand Casting of 1 Hand ($770)
Full Hand Casting of Both Hands ($1250)
*NEW* Concrete Paver Hand Impression ($770)
Pure Charm to Invoice
*
Funeral Home
Family Contact
Deceased Details
Full Name
*
DOB
*
DOD
*
Date of Funeral Service
*
Cause of Death
Family Details - Main Contact
Full Name
*
Relationship to Deceased
*
Email
*
example@example.com
Phone Number
*
Funeral Arranger Details
Name
*
Email
*
example@example.com
Phone Number
*
Comments / Notes
Submit
Should be Empty: