Memory Bears and More Inc.
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 Memory Bear Order Form

If you have any questions, please feel free to contact us.

Memory Bears and More, Inc.

ph. (440) 998-7178

email agibanzer@yahoo.com

 

If mailing a check, please make payable to Memory Bears and More, Inc.

Please complete one form for each bear ordering.  Print and send with clothing. 
                                                           
 Mail to:   Memory Bears and More Inc.
                     3129 State Road
                 Ashtabula, Ohio  44004-5330



Your Name:____________________________________________ 
  

      
Telephone Number (_____)________________________________

Email address:__________________________________________

Mailing Address_________________________________________

______________________________________________________

 

We may need to contact you with questions regarding orders.

Do you prefer we call or email?____________

 

BEAR COLOR:
Memory Bears are made from Fleece. Please choose the color of your bear:
____White    ____Cream    ____Black      ____Light brown (beige like)
 ____Dark Brown   ____Medium Brown         ____________Other * 
 
 OR _____ PATCHWORK MEMORY BEAR (bear made from various clothing items)

 Memory Bears are available in many colors not listed above. Shown are "typical"
bear colors, but we encourage you to choose any color you wish.  
We will contact you if the color you choose is not available.

 
EMBROIDERY:
You may personalize an embroidered message on the left foot bottom of your bear
at no extra charge.  Right foot will have our business name embroidered on it, or you
 may add an additional message for just $5.00 more.
Please note: message lines are shown as you will read them when looking at your bear.
 
Up to 12 characters per line (including spaces)
Up to 4 Lines
Please print your message(s) here:
 
Right foot: (Logo here or add message for $5.00)                    Left Foot:

 
 
 
 

 
CLOTHING:
Please describe the type of outfit you would like made for your bear. If you would like
us to make the same style outfit for your bear as provided from your loved one, check 
 "SAME".  This would be a matching outfit as provided, just smaller to fit your bear. 
 There may be some variations because the bear is shaped different, and is much smaller in scale.
_____ SAME...I would like my bears outfit to be the same as my loved one's

If you have special outfit requests, or do not have clothing items from you loved one,
and would like a new outfit made from scratch, please describe in detail below: ______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
**Please contact us for special clothing items such as bridal gowns, formal attire, etc., for a price quote.
 
EYES:
Bears are made with dark brown eyes, unless otherwise specified.
 We can customize any eye color for your bear. Please specify the color of eyes for your bear
(ex, dark blue, light green, brown green, etc.)________________________________________________
 
Hats & Other Accessories:
There is an additional charge for these services. If you would like a hat, or other accessory, please specify type. You may choose multiple accessories each at additional charge. 
   ___ HAT $12.00 Type of hat:________________________________________
   ___ Belt $5.00  Color (brown or black)______________________
   ___ Necktie $5.00
   ___ Glasses $5.00 (round with gold frames)
 


There may be extra material leftover after making clothing for your bear. Would you like the leftover material returned to you?___________ 

.      

Order Totals:                Memory Bear--------------Qty_____ @ $75.00 ea.  $________

                                   Adtl Embroidery----------Qty_____ @ $5.00 ea.       $________
                                                                                           Accessories     $________
                                                                                                                                                      
                          (S&H: 1bear $9.95, ea additional add $2.00)        S & H  $________
 
                                                                                                       TOTAL $________
Please select:
_____Check or Money Order
____ VISA or Master Card     Card#_______________________________  
                                                 EXPDate____/_____/____

     Auth. Signature (for credit card purchase)_________________________________________

 

 

 

 

  Memory Bears and More Inc.
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3129 State Road
Ashtabula, OH  44004
ph. (440) 998-7178
 
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Memory Bears

 

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