*ATTENTION* BEFORE ENTERING INFORMATION PLEASE SELECT THE OBITUARY STYLE AND READ PACKAGE OPTIONS* (EXAMPLE: HOW MANY PHOTOS AND POEMS GOES WITH EACH PACKAGE)

SPECIAL ATTENTION: *PLEASE* PROOFREAD YOUR ORDER BEFORE SUBMITTING IT.

**ANY CHANGES MADE TO THE OBITUARY ORDER AFTER THIS FORM IS SUBMITTED IS $15.00 PER CHANGE.

**CHANGES ARE ONLY MADE BY EMAIL, CHANGES ARE NOT ACCEPTED BY TEXT MESSAGES.

(ONCE OBITUARY IS SUBMITTED-NO CANCELLATIONS OR REFUNDS)