Name: _____________________________________________________________________________________ Street: _____________________________________________________________________________________ City:  ___________________________________  Zip: ______________ Phone No:  ________________________ If you are ordering  more than one presentation, please complete a copy of the following Order Form for each and indicate each by giving it a title. Title: _____________________________________________________________________________________

No. of Images Pricing Total Up to 12 $59.00 $59.00 13 to 24 ____ @ $2.49 for each (over 12) _____________________ 13 to 36 ____ @ $2.39 for each (over 12) _____________________ 13 to 48 ____ @ $2.29 for each (over 12) _____________________ 13 to 64 ____ @ $2.19 for each (over 12) _____________________ over 64 Contact for pricing. _____________________ Additional copies ___ @ $9.99 each _____________________ Additional CD with photos only ____ @ $9.99 each _____________________ New York Sales Tax: New York Residents add 7.25% _____________________ Shipping $9.99 (Within Continental US) _____________________ Total:   _____________________

Music: I have enclosed my own music, the selection(s) I wish to be used are: 1. ____________________________________________________________________ 2. ____________________________________________________________________ 3. ____________________________________________________________________ _____ Please make a selection for me. The theme I would like is: __________________________ _____ No music with my selection. Please include your Order Form, Narrative Sheet, Photos and  Documents along with a Check or Money Order and send ordinary sized orders to: MEMORIES plus! 3383 Bailey Road Bloomfield, New York 14469 Please allow 2-4 weeks for delivery. Forms: Downloadable, printable  versions, of the Order, Narrative and Instructions forms in Microsoft Word format, are available by following the links below. Right-click on the link and choose “Save link target as...”  or  “Save target as...” to save and then open in Microsoft Word. If you would like a pre-printed packet of materials, please send us a request by email and we will send them directly to you. Order Form   Narrative Summary     Instructions All materials copyrighted 2004 by MEMORIES plus!

Order Form:

MEMORIES plus!

Where memories come  to life!