Whispering Wings Order Form

Whispering Wings Order Form

When the Heart Listens......Angels Sings
Name *

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
How Did You Hear About Us ? *
Friend, Google, Etsy Etc
SIDE ONE OF WINGS
FULL NAME OF DECEASED SIDE ONE *

First NameLast Name
Date of Birth Side One*

MonthDayYear
Date of Death Side One*

MonthDayYear
Tips Side One Left *
Military, 2 hearts, golf, butterflies, be creative
Tips Side One Right *
Military, 2 hearts, golf, butterflies, be creative
Poem Side ONE*
Pick a Poem # or send me your own via email
SIDE TWO OF WINGS
FULL NAME OF DECEASED SIDE TWO (if different from side one)

First NameLast Name
Date of Birth Side TWO (only if different from side one)

MonthDayYear
Date of Death Side TWO (only if different from side one)

MonthDayYear
Tips Side Two Left *
Military, 2 hearts, golf, butterflies, be creative. (see sample at bottom of form)
Tips Side Two Right *
Military, 2 hearts, golf, butterflies, be creative
Poem Side TWO*
Choose a poem number from site or send me your own in comments below.
PICK YOUR WIND CHIME
Choose Style of Windchime*
Preferred Color of Chime (must choose from the style selected)*
May substitute if color not available
Scroll Personalized *

YesNo
Dear *
name of person receiving gift
Love*
name of person who passed
String*
Choose a word you would like on the string (i.e Love, Family, etc)
Add Flying Butterfly

No ThanksBlue ButterflyHe Has Risen ButterflyMilitary Butterfly
Include Gift Card ?*
If YES, what would you like the card to say?
Method of delivery*
Name of Recipient (If mailing)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Info
Please feel free to give me any other information you feel will help!
Once I have received your form and reviewed it,I will create a draft for your approval. Once you approve the the final draft, I will send you an invoice, which will need to be paid before ordering the engraving.

If something does not apply or you, use NA or if you do not know what you want, please enter "help" and I will contact you.

Please check your email regularly as I will check with you if I have any questions.

If you would like, you can email me a copy of the obitury (if applicable) to angelgirl@whisperingwingschimes.net. which will help me help you with ideas if needed.

IF YOU ARE HAPPY WITH YOUR PURCHASE, PLEASE GO TO MY SITE WWW.WHISPERINGWINGSCHIMES.COM AND LEAVE A COMMENT AT THE BOTTOM. THEY MEAN THE WORLD TO ME.

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