Order a Memorial

Remember Me Memorial Photographs
P.O. Box 605 Elizabethton, TN. 37644
Office (423) 479-1234 Mobile (423) 291-1234 Fax (901) 471-4057
email: orders@memorialmarketing.com or remembermeorders@gmail.com

Date:

Date

Representative

E-mail:

example@example.com

Name of Funeral Home/Cemetery:

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Fun Hm /Cem Phone #:

Format: (000) 000-0000.

FH/C Fax Number:

Format: (000) 000-0000.

Name of Family Member Placing Order:

Phone

Format: (000) 000-0000.

What would you like to order?

How Many Re-Orders?

Image File Upload

Take a picture of loved one's photo with your phone camera: Select Camera 0, click camera icon to take photo

Background Selection #

Text Selection #

Name of deceased:

Name as you wish it to appear on memorial (if different)

Gender

Date of Birth:

Date

Date of Passing:

Date

Notes, Requests, Corrections: (Identify deceased if more than one person in photo / special text requests / corrections / etc)

There is a $.05 per word charge for special text not included in our selections. ($5.00 minimum)
Special Background (using own bknd) Fee: $10.00 Correction Fee $7.50 each (our mistake-no charge)