Print This Page Please print, fill out & mail along with your check or money order to:
L. Huffman Studios
5014 S. 3rd Avenue
Everett, WA 98203-4133
Phone: 425-252-2742
When your order is processed, you will be sent a pre-stamped kit containing a vial and/or a hair sample card,
a complete set of instructions and a selection form. Upon receipt of the kit please place a small amount of
crematory ash (approx. 1/4 teaspoon) in the vial, fill out the selection form and return the kit to us so that
Linda can custom make your Memory Pendant to your specifications.
SHIPPING ADDRESS FOR KIT
NAME ___________________________________________________________________________________
ADDRESS_______________________________________________________________________________________________
CITY________________________________ STATE & ZIP CODE___________________________________
PHONE______________________________ E-MAIL _____________________________________________
Number of original pendants ordered ______ at $70.00each
__________
Number of oval hanging memorials ordered ______ at $85.00 each __________
Number of worry stones ordered_______ at $80.00 each __________
Number of spiral stands ordered ______ at $15.00 each __________
Number of gothic stands ordered ______ at $18.00 each __________
Number of small silver pendants ordered ______ at $135.00 each __________
Number of large silver pendants ordered ______ at $165.00 each __________
Number of small opal style keepsake pendants ordered ______ at $135.00 each
__________
Number of small original style keepsake pendants ordered ______
at $135.00 each __________
Number of large opal style keepsake pendants ordered ______ at $165.00 each __________
Number of large original style keepsake pendants ordered ______ at $165.00 each __________
Number of small combination keepsake/cremains pendants ordered ______ at
$155.00 each __________
Number of large combination keepsake/cremains pendants ordered ______ at $185.00 each
__________
Less discount if applicable (authorization # __________) (Please contact us first) __________
Sub-total __________
8.6% tax if in Washington State __________
Total __________