Memorial Keepsake Content Upload Form
Toby C. White, Owner & Managing Director
Service Honoree Information
***We are/will NOT be responsible for any typographical errors, omitted information, missing information, photo placement and cropping, background preferences, and/or any other error on printed programs after final approval has been given.
Decedent’s Full Name (Exactly as it should appear on the funeral program)
First Name
Last Name
Date of Birth:
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Month
-
Day
Year
Date
Date of Death:
-
Month
-
Day
Year
Date
Date Needed:
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Month
-
Day
Year
Date
Time Needed:
Hour Minutes
AM
PM
AM/PM Option
Funeral Date:
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Month
-
Day
Year
Date
Funeral Time:
Hour Minutes
AM
PM
AM/PM Option
Requester Name:
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The Journey of a Lifetime
4-Page Bi-Fold Program: A maximum of 3 photos is allowed, including the front cover photo of the decedent. 8-Page & 12-Page Bi-Fold Program: A maximum of 9 photos is allowed, including the cover photo of the decedent. Any additional photos beyond the 9-photo limit will incur a fee of $2 per additional photo. Tri-Fold Program: A maximum of 8 photos is allowed, including the front cover photo of the decedent. Any additional photos beyond the 9-photo limit will incur a fee of $2 per additional photo.
Upload Obituary / Life Reflections
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Poems, Scriptures, Tributes, or Other Textual Content
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Photos (Please adhere to the instructions provided under the header.)
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Background Preference
Please provide a hobby, favorite color, career, interest, meaningful object, or other special element you would like incorporated into the background design to reflect the life, personality, and legacy of your loved one.
Additional Information & Special Requests
Send Proofs to This Email Address*
example@example.com
Content Verification & Authorization **By signing below, I confirm that I have reviewed the information and materials submitted through this form. I understand that I am responsible for ensuring that all names, dates, service information, obituary content, poems, scriptures, and other submitted materials are complete and spelled correctly. **I authorize Memorial Moments Designs, LLC to use the information, photographs, and materials submitted through this form for the purpose of designing and producing the requested funeral program and related memorial products.
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