Memories in Bronze

Items for bronzing must be received by Oct. 25th to be guaranteed returned by Christmas

Rush charges will apply after this date

Order Form                                                                                                                                                


Please fill in all fields below.  If a field does not apply, leave it blank. Print out the form and mail with your order.

 

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Telephone
E-mail

          Please provide the following product information:

Desired finish:
Number of shoes:
Item #:
Payment Method *
Cardholder Name
Card Number
Expiration Date

Security Code 

  *If you prefer, we can get credit card info over the phone once we receive your items.
SHIPPING* if different from above
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
          Child's name and birth date as you want it to appear on nameplate:

          

          If ordering a wood base:                                          

          Please select type style for engraving:     

          Special Instructions:         

                                                                                                                            Sub Total 

                Shipping* 

Total 

          

*Standard shipping charges are:                                                                 

   $15.95 for unmounted baby shoes                                                            

  $19.95 for mounted baby shoes                                                               

 $25.95 for unmounted adult shoes, boots, hats, etc.                                  

Call for prices on larger mounted items.                   

  

      Important Disclaimer: In the very unlikely event of loss in transit, etc., we cannot be held responsible beyond intrinsic value up to $10.00.


Cut out our address below and attach it to your package to send with your order.

                                                                                      

                                                                                Memories in Bronze

                                                                                4365 Rhododendron Dr.

                                                                                Florence, OR  97439