Program Order Form Levett

Order Number / Case #

Date:

Time Submitted:

Primary Director:

Secondary Director:

Deceased Name:

Contact Person’s Name:

Email Address:

Mobile Number:

Date of Birth:

Date of Service:

Date of Death:

Time of Service:

Location of Service:

Interment:

Pastor’s Name:

Cremation:

Yes

Viewing:

Yes

Date:

Time:

Program Information

Package Selected: If NOT a package, please indicate quantity in special instructions section.

Upload Cover Photo:

Upload

Add a photo (Max size - 3MB)

Design Number:

Program Delivery Location:

Portrait Information

Only provide information that should be printed on the portrait

Deceased Name:

Deceased Photo:

Upload

Add up to 4 separate files (3MB max per file).

Date of Birth:

Number of Portraits Needed:

Portrait Delivery Date:

Delivery Time:

Choose a portrait treatment:

Full Image

Double Mat

Full Image: This image features a print that fills the frame. Requires 48 Hours for delivery. Weekend and Monday deliveries must be placed by 10 am Thursday.

Double Mat: This image features a Custom Premium Double Matboard with Antique White and Metallic Gold mats.

Choose a frame color (Frames are 18x24):

Brown

Black

Brown-Bronze

Black Bevel

Brown: This frame features an oak colored finish and a beveled construction that won’t detract from the work placed inside.

Black: This frame features a Black Smooth Wood Wall frame features a matte black shell with a fillet around the glass.

Brown-Bronze: This frame features a rich brown-bronze finish with subtle metallic undertones and a beveled construction that adds depth while complementing the artwork inside.

Black Bevel: This frame features a sleek black finish with a beveled edge design that enhances dimension and provides a clean, modern presentation without overpowering the display.

Bookmark Qty

Thank You Card Qty

Prayer Card Qty

Pull Banner Qty

Foam Core Board Qty

Foam Core Board w/QR Core

Upload Files

Upload Method:

Direct Upload (max 10 photos)

Google Drive / Dropbox Link (Recommended for large files)

Upload ZIP File (one file)

Upload Photos (Max size: 2MB each)

Upload

(Max 10 photos)

Google Drive / Dropbox Folder Link

(For 10–50 photos and documents upload them to Google Drive or Dropbox and paste the folder link here.)

Upload ZIP File (All photos and documents in one file)

Upload Zip File

(Max size: 25MB)

Special instructions:

Checkbox Field

I agree to the terms and conditions.

PROGRAM ORDER FORM

Please provide the following information: