Moments In Time... Capture them!
If you are sending hard copies of your photos, they will be returned to you by registered mail.
The SECURE form below can be filled out and submitted online - or printed out and mailed to:

Moments In Time, c/o sage butterfly design, 8059 kayak way, blaine, washington 98230

Standard Production/Delivery Time: 14 days (Rush Service available upon request.)

If you have been referred from "The Buddy Team" site and are interested in ordering a copy of "My Buddy & I"
-A Story of Unconditional Love - a 10 minute video presentation on cd-rom - please fill out only the necessary info in the form below- and a fee of $6.00 - including shipping. Thank you!
Info we need from you:
Name (First & Last):
Address:
City:
State:
Zip:
Email Address:
Phone (w/area code):
Photos: Digital: Scanned: Both:
# of photos: (pls number them!)
Video Package:
(Click here to see payment options)
Collage Options:
Real Estate Options:
Title of Video/ Opening Credits:
Photo Captions: Number and Text
Photo: #:caption:
Photo : #:caption:
Photo: #:caption:
Photo: #:caption:
Closing Credits:
Desired Music:
Genre: Jazz/Blues
Romantic
Nature Sounds
Big Band
Other -You supply cd(s)
Song 1:
Song 2: (if applicable)
Song 3: (if applicable)
Is this a gift?: YES NO
Shipping Info (if other than above:)
To the attention of:
Address:
City:
State:
Zip:
Payment Info:
Credit Card (see below) Check or Money Order
VISA
MASTERCARD
Credit Card Number
Exp Date:
Name on Card:
Order Total : Shipping & Handling: $2.00 per video or cdrom

Video Package (see above for pricing)
Extra captions ($4 each)
Extra copies of video ($15 each)
Rush Fee: (please call or email)
Subtotal:
Shipping & Handling:
Total:

Comments or suggestions: