PRODUCT ORDER FORM
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WHITE CHINA PLATES : IVORY CHINA PLATES : BLACK CHINA PLATES : SPECIALTY PLATES
PORCELAIN TRAYS : CHRISTMAS ITEMS : VASES : BANKS & SPORTS ITEMS : SPECIALTY ITEMS

How to Place an Order

Take your photo to one of our dealers and place your order with them.
OR
Print out the order form and fill in the items and quantity that you wish to order.
Send it along with your photo to:

The Memory Mint
3344 Baneberry Drive, Regina
Saskatchewan S4V 2V2

You can send a digital file to memorymint@sasktel.net.

If you send a digital file, the resolution should be between 640 x 480
and 1024 x 768. Anything larger than 1024 x 768 will be too large to e-mail.
If you scan a picture, the resolution should be at about 300 dots per inch
when scanning it at the same size.

Dealers

Bird Films Co. Ltd.
Golden Mile Centre
3806 Albert Street
Regina, Saskatchewan
S4S 3R2
Phone (306) 586-0311
www.birdfilms.ca

University of Regina
Printing Services
Room 118 Ad-Hum Building
University of Regina
Regina, Saskatchewan
S4S 0A2
Phone (306) 585-4489
www.uregina.ca/printing

RH (Doc) Bornholdt
Box 55, Yellow Grass
Saskatchewan S0G 5J0
Phone: (306) 465-2528

ALL PRICES IN CANADIAN DOLLARS
Qty	Item	Description	Photo Size	Price Each	Total
WHITE CHINA PLATES
	106	4” White China Plate w/24kt. Gold Trim	2”	16.95
	112	5” White China Plate w/24kt. Gold Trim	3”	19.95
	101	6.25” White China Plate w/24kt. Gold Trim	3.75”	24.95
	102	7.5” White China Plate w/24kt. Gold Trim	4.5”	29.95
	103	8.25” White China Plate w/24kt. Gold Trim	5”	34.95
	104	9.25” White China Plate w/24kt. Gold Trim	5.5”	39.95
	105	10.75” White China Plate w/24kt. Gold Trim	6.5”	49.95
IVORY CHINA PLATES
	301-I	4” Ivory Plate w/24kt. Gold Trim	2”	22.95
	302-I	6.5” Ivory Plate w/24kt. Gold Trim	3.75”	34.95
	303-I	7.5” Ivory Plate w/24kt. Gold Trim	4.5”	42.95
	304-I	9.25” Ivory Plate w/24kt. Gold Trim	5.75”	49.95
BLACK CHINA PLATES
	301-B	4” Black Plate w/24kt. Gold Trim	2”	24.95
	302-B	6.5” Black Plate w/24kt. Gold Trim	3.75”	39.95
	303-B	7.5” Black Plate w/24kt. Gold Trim	4.5”	47.95
	304-B	9.25” Black Plate w/24kt. Gold Trim	5.75”	54.95
SPECIALTY PLATES
	101-E	6.25” White China Plate w/24kt. Gold Trim, Embossed Rim	3.75”	28.95
	102-E	7.5” White China Plate w/24kt. Gold Trim, Embossed Rim	4.5”	32.95
	101-B	6.25” White China Decaled Plate – Choices Below: “It’s a Boy”, “It’s a Girl”, “Congratulations”, “Happy Anniversary”, “Happy Birthday”, “World’s Greatest Mom”, “World’s Greatest Dad”, “Happy Mother’s Day”, “Happy Father’s Day”	3.75”	29.95
	101-PP	6.25” White China Decaled Plate – “Pet Paws”	3.75”	29.59
	102-P	7.5” White China Plate w/Platinum (Silver) Trim	4.25”	39.95
	304-W	9.25” White Plate w/24kt. Wide Gold Trim	5.5”	52.95
	302-C	6.5” White Plate w/Cobalt Blue Border & Gold Trim	3.75”	34.95
	303-C	7.5” White Plate w/Cobalt Blue Border & Gold Trim	4.5”	42.95
	304-C	9.25” White Plate w/Cobalt Blue Border & Gold Trim	5.75”	49.95
	401	8.25” Polished Stainless Steel Plate	5.375”	56.95
	411	11.75” Polished Stainless Steel Plate	8.5”	69.95
PORCELAIN TRAYS
	901-W	5"x4" Small White Porcelain Tray w/Gold Trim	2.25” x 3”	28.95
	901-B	5"x4" Small Black Porcelain Tray w/Gold Trim	2.25” x 3”	32.95
	902-W	7"x5" Medium White Porcelain Tray w/Gold Trim	3” x 4.75”	36.95
	902-B	7"x5" Medium Black Porcelain Tray w/Gold Trim	3” x 4.75”	42.95
	903-W	10"x8.25" Large White Porcelain Tray w/Gold Trim	5” x 7”	52.95
	903-B	10"x5.25" Large Black Porcelain Tray w/Gold Trim	5” x 7”	59.95
CHRISTMAS ITEMS
	108	6.25” White China Christmas Plate w/24kt. Gold Trim	3.75”	29.95
	109	3.5" Wreath Christmas Ornament	1.875”	22.95
	110	2.25" Ball Christmas Ornament	1.675”	24.95
	111	2.75"x3.5" Snowflake Ornament	1.875”	19.95
VASES
	701-I	5” Ivory Vase w/Wide Gold Trim	2.75”	45.95
	701-B	5” Black Vase w/Wide Gold Trim	2.75”	49.95
	703-I	10” Ivory Vase w/Wide Gold Trim	3.75”	59.95
	703-B	10” Black Vase w/Wide Gold Trim	3.75”	64.95
BANKS & SPORTS ITEMS
	201	Book Shaped Bank w/Gold Trim	3.75”	46.95
	202	6"x4" Piggy Bank	2.175”	46.95
	203	4.5” White Baseball Bank	2.175”	29.95
	204	3.5” x 6” Brown Football Bank	2”	29.95
	205	5” White & Black Soccer Ball Bank	2.75”	39.95
	206	6” Brown w/Black Trim Basketball Bank	2.75”	44.95
	505	10” Trophy Size Golf Ball	4”	64.95
	600-B	7.5” Blue Running Shoe “Sneaker”	1.75”	29.95
	600-P	7.5” Pink Running Shoe “Sneaker”	1.75”	29.95
	950-S	Hockey Puck (Rubber) Standard	2.5”	12.95
	950-DC	Hockey Puck Display Case	NA	8.95
	950-W	Wooden Hockey Puck Stand	NA	3.95
SPECIALTY ITEMS
	107	3” White Refrigerator Magnet w/24kt. Gold Trim	1.875”	18.95
	601-I	4” Ivory Covered Jewelry Box w/Wide 24kt. Gold Trim	2.75”	39.95
	601-B	4” Black Covered Jewelry Box w/Wide 24kt. Gold Trim	2.75”	44.95
	604-M	4” White Decaled Jewelry Box w/17 Note Movement	2.75”	54.95
	605	4” Porcelain Baby Shoe w/Gold Trim	1.625”	26.95
	606	4.5" Porcelain White Bell w/Gold Trim	1.875”	29.95
	801	3.5” White Mug w/Gold Trim	2”	29.95
	850-S	1.75" Key Chain (Antique Silver)	1.5”	14.95
	850-G	1.75" Key Chain (Antique Gold)	1.5”	14.95
	985-S	Belt Buckle (Antique Silver)	2.125”	24.95
	985-G	Belt Buckle (Antique Gold)	2.125”	24.95
ACCESSORIES
	150	6” Brass Wire Ornament Stand	NA	7.95
	151	Small Stretch Wire Wall Hanger (6” Plate)	NA	7.95
	152	Medium Stretch Wire Wall Hanger (7” – 9” Plate)	NA	7.95
	153	Brass Display Easel (Adjustable)	NA	9.95
	3000-W	3” Easel, White w/Gold Trim	NA	2.95
	3001-W	5” Easel, White w/Gold Trim	NA	3.65
	3002-W	8” Easel, White w/Gold Trim	NA	4.35
	3000-B	3” Easel, Black w/Gold Trim	NA	2.95
	3001-B	5” Easel, Black w/Gold Trim	NA	3.65
	3002-B	8” Easel, Black w/Gold Trim	NA	4.35
	3000-C	3” Easel, Clear	NA	1.85
	3001-C	5” Easel, Clear	NA	2.65
	3002-C	8” Easel, Clear	NA	3.20
	3000-G	3” Easel, Gold	NA	3.65
	3001-G	5” Easel, Gold	NA	4.25
	3002-G	8” Easel, Gold	NA	5.85
	2001-F	Octagon Wooden Frame for 6” Plate	NA	54.95
	2002-F	Octagon Wooden Frame for 7” – 8” Plates	NA	59.95
	2003-F	Octagon Wooden Frame for 9” – 10” Plates	NA	64.95
	5001	Customized Gold/Silver Lettering on Any Item, /per letter	NA	1.00
	6001	Photo Duplication/Sizing	NA
-		Merchandise Total
		Shipping & Handling >> $9.00 PER BOX
		GST Not Applicable
		PST [ Sask. 7% ]
		TOTAL ENCLOSED $CDN

Note: Easels and stands are sold separately.

Release:	I understand that my original photograph will be used in my Memory Mint product and will not be returned in its original condition. Upon presentation of this photo and my signature, I release all liabilities and warranties. Photo duplication cost: Please enquire: info@memorymint.com
Name	-
Address	-
City		Province:
Postal Code		Phone:

I have read and understand the picture policy

_________________________________________
(Signature Required)

NOTE: If this photo is one-of-a-kind, we suggest that you have a duplicate made. Your photo will be shaped to fit in the most advantages way for the creation you have selected.

Do not pre-cut photos.

Please Mail:	CHEQUE OR MONEY ORDER to:
	The Memory Mint 3344 Baneberry Drive Regina, Saskatchewan S4V 2V2