Kahny Inc. - Memorial Folder Order Form

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* = Required information.

Your Contact Information
* = Required contact information.
First Name**:
Last Name**:
Organization Name:
Address:
City:
State/Prov./Terr.:
Zip-Postal Code:
Phone**:
Ship to address:
Email*:
CC Email:	(Copy my mail to this address.)

Instructions: Enter data exactly as you would like it to appear for the folder below. Click Send to enter your order. If you need a photo added, please use the Attach File button below, and follow instructions.
Folder Series *
Color of Stock (Not available with all cards)
Prayer Style *
Name of deceased *
Nee (Maiden Name)
Gender of Deceased
Date of Birth (ex. May 21, 1931)
Date of Death (ex. April 1, 2003)
Date and Hour of Service
Held at
Clergy
Place of Interment

Well Fortified with the Sacraments of the Holy Church:	No Yes

Funeral Home Name on bottom of Folder?	No Yes
Do you want to add a photo to the card?	No Yes
ORDER INFORMATION
Time & Date Needed *
Quantity *
Ship Via:
Ship To *	, ,
Notes

Last Step: Attach & Send Your Files or Information This form is secure

Attach Files
Send - No Files to attach

Click to send.