___NAME____________________________________

___DOB_____________________________________

___DOD_____________________________________

___NUMBER OF PHOTOS ___________

___MAIN PHOTO EMAILED?    YES     NO

___BACKGROUND #__________________________

___SONG #1 _________________________________

___SONG #2 _________________________________

___SONG #3 _________________________________

___SONG #4 _________________________________

___ON INTERNET?    YES      NO

___PHOTOS NUMBERED IN SEQUENCE?   YES    NO

___SPECIAL REQUESTS?___________________________________________________________

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