Dear Friend,

Thank you for showing an interest in Keepsake Names®. Please fill out the order form below and click the submit button. If you are paying by check or money order, print this form out and send it with your payment to Keepsake Names, 29 E. Oakland Street, Toledo, OH 42608-1112 US.

Please Note:
If this sale is from a group or club having a Keepsake Names fundraiser please enter their name and address in the space provided. We want to make certain they receive their proceeds from this sale. For information on the Keepsake Names fundraiser fill out the form at:

http://www.keepsakenames.com/business%20section/fundraiserinformation.html

"Our Tradition: Your satisfaction",

Clyde & Diane Nebb

Your Name
Address
City
State
Zip
Country
Phone
Fax
E-mail
Shipping Address
(if different)
Prayer Name
Verse Number
First Name
Last Name
Message
3 lines, 60 letter max.
up to 30 letters, $1.50
up to 60 letters, $2.50

Second Prayer Name:

A second prayer name may be added to any 10" x 8" ($5.00 extra)
Prayer Name
Verse Number
First Name
Last Name
Message
3 lines, 60 letter max.
up to 30 letters, $1.50
up to 60 letters, $2.50
Print Code
Print Size Mat Type

Price

See pricing table for prices.
Unit Price
Second Prayer Name
Same Background
Matte S code extra
Message Price
Sub Total
Tax
(Ohio Residents add 6.25%)
Shipping
($2.00 for unmated, $3.95 for matted)
Total

Payment

Enter your payment information below.
Payment Method
Card Number
Exp. Date
Name on Card
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about us?