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Distinguished Designs & Print
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Enter Your Contact Information
Contact Person's First Name
(Required)
Contact Person's Last Name
(Required)
Phone
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Email
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Enter the Deceased Information
Deceased First and Last Name
(Required)
Deceased Date of Birth
(Required)
Month
Month
Day
Year
Deceased Date of Death
(Required)
Month
Month
Day
Year
Select the Type of Programs Ordered
(Required)
Standard Bifold (Max 6 pictures /1 Tribute)
Standard 8 Page Book (Max 25 pictures / 4 Tributes)
Large Bifold (Max 20 pictures / 4 Tributes)
Trifold (Max 20 pictures / 4 Tributes)
Large 8 Page Book (Max 50 pictures / 8 tributes)
Date of Service
(Required)
Month
Month
Day
Year
Time of Wake
Time of Service
(Required)
Place of Service
(Required)
Address of Service
(Required)
Pastor / Officiant Name
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