KEEPSAKE ORDER REQUEST FORM
Full Name of Deceased
*
Title
First Name
Middle Name
Last Name
Suffix
Date of Birth
*
/
Month
/
Day
Year
Date of Death
*
/
Month
/
Day
Year
FUNERAL HOME/DIRECTOR INFORMATION
Funeral Home
Name of the requesting funeral home
Funeral Director
*
First Name
Last Name
Funeral Director's Email
*
Funeral Director's Phone Number
-
Area Code
Phone Number
FAMILY INFORMATION
(person handling the program, this is optional)
Contact Person (Family Member Providing Information)
First Name
Last Name
Contact Person E-mail
Relationship to the deceased
How is this person related to the deceased?
Contact Number
-
Area Code
Phone Number
DETAILS OF THE CELEBRATION
Type of Service
*
Funeral Service/Mass of Christian Burial
Memorial Service
Graveside Service
Visitation Only
No Service
Service Date
Time of Service
Location/Venue of the Service
Where the service will take place.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Disposition
Burial
Cremation
Flight Out of State/Country
If Burial, Location/Venue of Burial
Where the burial will take place.
Back
Next
TYPE OF SERVICES REQUESTED
How will CreativeSolutions assist you?
What will we create for you?
Program/Memorial Folder
Poster/Banner
Obituary Writing
Video Creation
Prayer Cards
Thank You Cards
Bookmarks
Postcards
Half Casket Panel
Full Casket Panel
Other
PROGRAM/MEMORIAL OPTIONS
Type of Program
Letter Bi-fold (4 Page Letter)
Legal Bi-fold (4 Page Legal)
11 x 17" Bi-fold (4 Page Tabloid)
8.5 x 16.5" Tri-fold (6 Page 2 Folds)
11 x 17" Tri-fold (Large 6 Page 2 Folds)
8-page Booklet
12-page Booklet
16-page Booklet
Gate Fold
Gate Fold with Booklet
Special Fold
Prayer Cards
Bookmarks
Postcards
Other/Custom
Select the type of program from the pull down menu
Total number of printed programs?
Preferred Colors
Theme (If desired)
UPLOAD YOUR PROGRAM FILES
Attach: Obituary, Order of Service, Poems, Pictures (All Photos Must Be Submitted Electronically), etc...
Cover Photos
Upload Photos for the Cover
Hold "CTRL" to select multiple files.
Cancel
of
Documents
Obituary/Order/Poems, etc...
Hold "CTRL" to select multiple files.
Cancel
of
Program Photos
Upload inside program photos
Hold "CTRL" to select multiple files.
Cancel
of
If not uploaded above, enter Order of Service Details here
Officiant, Eulogist, Musicians, Songs, Pallbearers, Cemetery/Cremation Info, and Acknowledgment, also place the poem here.
Special Instructions
Number of pictures on cover, impact section instructions, etc...
PAYMENT OPTIONS
Payment for services is due at the time of proof (Three (3) days prior to the service).
Who will be responsible for the services provided?
Bill the Family (Contact Person Above)
Bill the Mortuary
Other
If proof will only be emailed to the contacts listed above, leave this section blank.
Proof will be emailed to:
example@example.com
Proof will be emailed to:
example@example.com
Proof will be emailed to:
example@example.com
UPLOAD PHOTO PRODUCTS HERE
POSTER/PRAYER CARD/POSTCARD/BOOKMARK
POSTER/ PRAYER CARD/ POSTCARD/ BOOKMARK Photos
Upload photos for the POSTER/ PRAYER CARD/ POSTCARD/ BOOKMARK
Hold "CTRL" to select multiple files.
Cancel
of
Photo Uploads
Poster Photo (24x36)
Poster Photo (20x24)
Poster Photo (16x20)
Prayer Card Photo
Postcard Photo(s)
Bookmark Photo(s)
Other
VIDEO CREATION
Once the order is received, a link will be created and emailed to you (All Photos Must Be Submitted Electronically). Once photos are uploaded, they can be arranged in the proper order.
Video Creation Request
Send a link to the contact person's email address to upload the video photos.
Photos will be emailed to: info@creatingyoursolution.com by due date.
Sending a LINK from a cloud service (Dropbox, One Drive, Google Drive, etc.) with access to the pictures.
Print and Digital Reviews
All information should be submitted FIVE (5) days prior to the final service. The proof will be ready for review two days after submission (Excluding the weekends and holidays). Proof should be reviewed three days prior to the service.
Print products and video proof(s) to be ready by
Time of Day for Proof
9AM-11AM
11AM-1PM
1PM-3PM
3PM-5PM
5PM or Later
Submit
Should be Empty: