Your Contact information:
Your first name:
Your last name:
Your email address:
Enter sports team or school logo or other symbol name here
Please Note >>>>	Enter your mailing address here. Along with any comments or notes Send the picture you want to be on the urn to: Memory Lane Urns 3315 Monier Circle, ste 1 Rancho Cordova, CA  95742 or email a JPEG picture to memorylaneurns@yahoo.com
Things We Need To Know About Your Loved One:
Spell their name exactly how you wish it to appear. Their Birth Date &  Date of  Passing
Best way to contact you:	Email address Mailing address