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DVD Personalized Card Form
A Great Value & Everlasting Memory
Fill out info below and hit submit!

Your Name:
Your Phone #:
Card Occasion:
Card for Male-Female-Couple?:
Age Of Recipient:
Theme for Card(Ex: Flowers):
How do you want card signed:
Recipients Address if you want mailed to them:
Your Address if you want mailed to YOU for personal delivery:
Song for DVD (may be instrumental version):
Your Personal Message Slide #1 (beginning of DVD Card):
Personal Message Slide #2 (middle of DVD Card)::
Personal Message Slide #3 (End of DVD Card)::
Number of Pictures (limit 5):	Email Pictures to Lori@YourEverlastingMemories.com *When emailing pictures please save them with your last name then picture order for DVD Card (ex: Bayer1 Bayer2)
	Check here if you need Picture Scan Service
$15 Card Fee includes Postage either to you or the recipient. * Cards will not be mailed until fee is recieved! Mail Checks to: Lori Bayer 1058 Bayer Rd Hedgesville WV 25427 Make checks payable to Lori Bayer Paypal coming soon!! Thanks in advance for your business!! If you are happy with your card please pass the word along to your friend and family about this unique Personalized DVD Card service! Thanks again!! Lori Any questions email me!!