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SSGHS Photo Service Order Form
Your name (please
print)____________________________________________
Your address_____________________________________________________
Email address_____________________________________________________
Name of cemetery (other subject)______________________________________
Location of cemetery (other subject)____________________________________
Cemetery office hours_______________________________________________
Ancestors names and approximate birth and death
dates and gravesite location(s)
or address of other location(s) that you want photographed:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Use additional sheet if necessary__________________________________________________
I understand that will the fee for this service is
$15.00/hour with a $40.00 minimum and that SSGHS will provide a
quote and then complete the request upon receipt of your check.
I also understand that it could take four to
six weeks to fill this order.
Your
signature_____________________________________________
Date________________
Send request to:
SSGHS / Photo Service
3000 W. 170th Place
Hazel Crest, IL. 60429-1174
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