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Legacy Item Inquiry Form
Legacy Program at Silver Linings
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* Indicates required question
Email
*
Your email
Your name
Your answer
What is your phone number?
Your answer
What is your mailing address?
Your answer
I am making this item in memory of
A loved one
A pet
Clear selection
Do you have ashes to be included with your item?
Yes
No
Clear selection
I am interested in a custom
Resin -Jewelry, Cuff Links, Hair Clip, Paperweight, Other
Fingerprint Charm bracelet, necklace
Cloth item- Pillow/Teddy Bear/Holiday Ornament
Legacy Photoshoot
Painting/Drawing
Custom-Made Item
If custom- Please tell us about your idea for your special custom-made piece?
Your answer
When do you need your item by?
MM
/
DD
/
YYYY
How did you hear about our legacy program?
friend/family
internet search
Facebook
Instagram
Funeral home
Other
Clear selection
How will you receive your item?
Pick up: Play Warriors, Inc. 82 Main Street, Bridgton, Maine 04009
Shipped to mailing address provided
Shipped to another address- add below
Clear selection
Address where it will be shipped
Your answer
How will you be paying for your item?
cash
check- made out to Play Warriors, Inc.
credit card (add 3.5% charge)
venmo (@Kimberly-leighton-ccls)
Clear selection
Submit
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