Pet Memorial Marker Order Form

Jet Black Granite Pet Markers (circle one)

GGM-90                                       GGM-100                                GGM-105
24" x 12" x 4"                               14" x 9" x 2"                            12" x 8" x 2"
$449.95                                        $189.95                                  $159.95
*Jet Black Only!

Color Choice (circle one)
Evergreen                 Jet Black

Lettering Styles (circle one)
Times New Roman                          Monotype Corsiva                             Other: _____________

Optional Paw Prints (circle one)                        Optional Gradient Fade (circle one / see "Sharkey")
Yes                No                                                          Yes                No


Rough Layout (clearly print lettering & indicate desired photo placement below)








Billing / Shipping Address

Name: ___________________________________________________

Address: _________________________________________________

City/State/Zip: _____________________________________________

Phone: ___________________________________________________

email: ____________________________________________________


CHARGES & PAYMENT METHOD (circle one)

VISA                MASTERCARD                DISCOVER                AMERICAN EXPRESS                PERSONAL CHECK


CREDIT CARD NUMBER: _________________________________  SIGNATURE CODE:_______  EXP. DATE: ______________


SIGNATURE: _______________________________________________
                    (REQUIRED)

MERCHANDISE TOTAL:   $_____________

SHIPPING/HANDLING:     $_____________ (see below)

SALES TAX:                     $_____________ (Ohio only add 7.5%)

TOTAL CHARGES:            $_____________

Shipping                                                                            Make Checks Payable & Mail Order To:
Please Allow 2-3 weeks for delivery.                                   Stevenson's Everlasting Memories
Add $20.00 s/h for GGM-100 & GGM-105                            1927 East Wheeling Avenue
Add $150.00 freight for GGM-90                                          Cambridge, Ohio 43725
*Photographs will be returned with each order.                 Tel: 1-866-584-4381  (740) 432-4599