| Fax Form |
| Name |
| Address: |
| City: State: |
| Contact Phone: |
| Comments or special instructions: |
| Color photo or change to black& white: Type of frame: |
| Shirt type: Polo , or heavy weight tee |
| Size: Child : Adult: Color: Quantity: |
| Type of payment sending: |
| Please remit to: |
| Remembrance Keepsakes |
| 1625 East Davis Road |
| Weatherford , Oklahoma 73096 |
| 580-774-1260 Business |
| 580-774-1260 Fax(*9 after the beep) |
| We look forward to hearing from you and may all your good memories be "Remembrance Keepsakes" !
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