Create beautiful family keepsakes in many formats!

Keepsake Family Songs

Keepsake Family Songs Order Form

All items marked with a "*" are mandatory. Fill in other lines if you want that information included in your customized song (applies to Original song selections only; see below)

CONTACT INFORMATION
Name:
Address:
Daytime Phone #:
Evening Phone #:
Email Address:

SONG INFORMATION
*Person(s) Name In Song:
Person(s) Nickname:
Person(s) Age:		Person's Sex:
Relationship To You:
*Occasion:
*Birthday Date: (If occasion is a birthday)
*Anniversary Date: (If occasion is an anniversary)
Spouse's Name:
Children's Names:
Grandchildren's Names:
Other Names and Relationships:
Pet Names:
Hobbies:
Other Information:

PRICING PLANS
We offer two types of customized songs. "Personalized" songs are less expensive, but only use the information marked with an "*" above. Original songs are more expensive, but are written originally for each customer and use all or most of the information filled in above.
ITEM	ITEM DESCRIPTION		COST
PERSONALIZED SONG GIFT PACKAGE	Beautifully printed lyrics sheet and recorded song	Tape Cassette	$ 29.95
		CD Disc	$ 44.95
ORIGINAL SONG GIFT PACKAGE	Beautifully printed lyrics sheet, recorded song and customized packaging, artwork and labeling.	Tape Cassette	$ 199.95
		CD Disc	$ 194.95
LYRICS SHEET			FREE!!
FRAMED LYRICS SHEET			$ 25.00
ORIGINAL SONG - MUSIC & LYRICS ONLY	CD or tape cassette song but without packaging	Tape Cassette	$ 159.95
		CD Disc	$ 159.95
ADD 1 PHOTOGRAPH	Add 1 photograph to original Music Gift package printing.		$ 9.95
EXTRA COPIES OF MUSIC	Tape Cassette		$ 14.95
	CD Disc		$ 19.95
TEEN GIFT PACKAGE	1 of 3 pre-recorded songs personalized for child with personalized packaging, artwork and labels.		$ 69.95
FRAMED LYRICS SHEET	Non-matted (8 1/2" x 11")		$ 49.95
	Matted (8 1/2" x 11")		$ 64.95

PRODUCTION PREFERENCES - Please check all that apply
STYLE DESIRED:
MOOD DESIRED:
PERSONALIZED SONG	Tape Cassette CD Disc
ORIGINAL SONG	Tape Cassette CD Disc
TEEN GIFT PACKAGE	Tape Cassette CD Disc

	Fifty percent (50%) of the order total is due prior to beginning work on your song, with the remaining balance due at completion.
	We will contact you to review the above information prior to beginning the song development process to ensure all information is complete and correct, and to make arrangements for including a photo on the lyrics sheet if desired.
	This form can be returned by clicking the "Submit" button below or by calling in the information at (727) 844-3200 or (908)419-8155.
	Please see our copyright restrictions to understand your rights regarding the use of your customized song.

Thank you for your order. We will contact you within 2 business
days to confirm your order.

Tel.#:	(727) 844-3200
Email:	info@keepsakefamilymoments.com