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Vashon Associates - Angel Presentations
Online Questionnaire/Order Form
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If you have sent payment via PayPal and you are able to send the necessary photo(s) by e-mail, you may use this online form to send us the information we need to create your Presentation. Please use the "Notes and Comments" box for other pertinent information. Any additional information you may provide will assist our artists in creating a treasured Memorial. Of course, any and all information provided will be treated confidentially. If the recipient is particularly religious and/or has a favorite prayer, this information would also be helpful. Alternatively, we can prepare a non-religious requiem if you feel that would be appropriate.

Purchased By:
Purchaser's Name:

Purchaser's Address:

Purchaser's City:

Purchaser's State:

Purchaser's Zip:

Purchaser's Phone Number:

Best time to call if more information is needed:

Your relationship to the recipient of this gift:

Name of the deceased:

Year of birth of the deceased (if known):

Year of death of the deceased:

Survived by:

Branch of Military Service and rank or fraternal affiliations
(Masonic, Police, Fire, etc. - if applicable):

Your relationship to the deceased:

      Continued in the next column...
Purchased For:
Gift recipient's relationship to the deceased:

Gift recipient's Name:

Gift recipient's Address:

Gift recipient's City:

Gift recipient's State:

Gift recipient's Zip:

Desired signature line imprint
(i.e., "Ann & Jim Smith" or "Your Friends at XYZ Inc.", etc.):

Notes or comments that may assist us in further personalizing
this Presentation:

Presentation should be sent to:
Purchaser's address Recipient's address Other (fill in below)





Type of Presentation (you MUST choose one):
      Two Panel Binder       Single Panel Frame

Digital photos should be sent to: Don't forget to identify yourself AND the subject of the photo(s)!


For further information please visit our FAQ (Frequently Asked Questions) Page. If you still have unanswered questions or if you have comments or suggestions, please let us know via any of the methods listed on our Contact Page.

©2007 Vashon Associates