FAMILY TREE ORDER FORM
www.engravery.com

Directions:  On each numbered line, print the names (first names only) and birthdates
of the people you wish to have engraved on your tree.  
Once you have all of the names printed out, get the sheet that has the picture of the family tree on it. 
Take the number that is in the front of each name and place that number on the tree in the area
which you would like to have that name engraved. 
Fax all of the sheets to 402-201-2163 or mail them to:
The Engravery
5062 S 108 St #191
Omaha, NE 68137. 
You may also scan them and email them to sales@engravery.com

To see a sample of an order form, go to www.engravery.com/sampletreeform.htm. 
If you have any questions, you may call us at 402-210-2299.

Tips: The two oldest people (usually the grandparents) go on the trunk of the tree. 
As you put names on the tree, the oldest people should be towards the bottom
of the tree and the youngest towards the top. 
You may place grandchildren in the area outside of the tree.

Cost:  $99.99-Includes 20 names, then $3 for each name over 20.
Shipping is $7.95.

Shipping Time: Your tree will leave our facility within 5 business days.

Please fill out the following information:

Name________________________________________________

Address______________________________________________

City_______________________ State_______ Zip______________

Phone _(          )_______________________________

Fax _(          )_______________________________

Email Address ___________________________________________

Credit Card Number_______________________________________
      (circle one)  Visa   MasterCard    Discover   American Express

Expiration Date________________

Name on Card_______________________________________________

Signature____________________________________________________

The _______________________________________ Family Tree
(Write in last name to be engraved at the top of the tree)

Name                                 Birth Date

1._______________________________________________

2._______________________________________________

3._______________________________________________

4._______________________________________________

5._______________________________________________

6._______________________________________________

7._______________________________________________

8._______________________________________________

9._______________________________________________

10.______________________________________________

11.______________________________________________

12_______________________________________________

13._______________________________________________

14._______________________________________________

15.________________________________________________

16.________________________________________________

17.______________________________________________

18._________________________________________________

19._______________________________________________

20.________________________________________________

CONTINUE ON ANOTHER SHEET IF NEEDED
NUMBER EACH NAME

IF THIS WILL NOT PRINT CORRECTLY, EMAIL US A FAX NUMBER
AT SALES@ENGRAVERY.COM SO THAT WE CAN FAX YOU AN
ORDER FORM.