Personalized Birthday Gifts - Your Memory Lane



1st Anniversary Special 21 Questions

We give you 21 reasons to tell someone you love him or her, and you choose 10 of them to answer. Your answers will reveal to us the most meaningful events, locales, and memories that make your relationship with your spouse or significant other so special to you both. We will use this information to build your story into a Memory Lane print that will commemorate your relationship and remind you every day what is so special about that special gal or guy in your life!

While we only need the information that is important for us to understand the event, place, or fact—a short description and simple details, such as names, dates, times, places, and colors—please make sure to provide sufficient detail. We’ll only know that your first date was in autumn at an Italian restaurant with a blazing fireplace if you tell us!

Type the following information into the gray area of the fields in the right-hand column of the box below:

|Type your names as you want them to be displayed. (John and Mary, John & Mary, |      |

|John & Mary Jones) | |

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|Type your order number & last name here | |

|Example: 0000-A Jones |      |

|What is the Proof Date that we gave you? |      |

|What is the due date that we gave you? |      |

|What is your E-mail Address |      |

|Is this a dating or marriage anniversary? |      |

Choose and answer only 10 of the following 21 questions

Type your answers into the gray areas below. Each answer is limited to a maximum of 175 characters, including spaces.

1. When and where did you meet?

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2. What did you do on your first date?

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3. When and where did you get engaged?

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4. When and where did you get married? If important, describe the type of building that you want to see, a church, synagogue, park, temple, justice/peace, beach etc.

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5. What was your wedding song?

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6. Where was your reception?

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7. When and where did you go on your honeymoon?

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8. When and where did you take your most memorable vacation together, and what did you do?

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9. What was the single most memorable moment of your first year of dating or marriage?

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10. What is your favorite movie or TV show?

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11. Who are some of your favorite friends and family members? Please provide up to, but no more than, six (6) names, exactly as you want them displayed. Also, include any children here.

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12. What are the names of any teams that you root for?

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13. Where is your special hangout spot? Please provide a logo or Web address, if you can.

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14. What is your favorite place to dine together? Please provide a logo or Web address, if you can.

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15. Where do you and your partner work?

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16. What is your favorite shared hobby? Please provide only one.

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17. What is your favorite sport to play together? Please provide only one.

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18. What is your favorite shared activity? Please provide only one.

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19. What are the names, breeds, and colors of your pets?

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20. What is something you often say to each other?

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21. Optional question and answer. In case we missed something you may provide your own question and answer. Please type your question and answer into the gray areas below.

|Question |      |

|Answer |      |

Street Signs

Type the Street Signs you would like displayed, from left to right, in the gray areas below. Street Signs do not have to be actual street names. We’ll display anything you wish—“Easy Street”, “Lucky Drive”, “Lover’s Lane”. Use your imagination! Each Street Sign is limited to a maximum of 15 characters, including spaces.

|1 |      |

|2 |      |

Street Vehicles

Type the Street Vehicles you would like displayed, from left to right, in the gray areas below. The list can include all types of cars, trucks, vans, boats, buses, golf carts, snowmobiles, police cars, wreckers, horses, etc. You might want to include the limo or carriage you took on your wedding day here. Please provide details such as the number of doors, model year, and colors. If you want a particular type or logo on a vehicle, let us know.

|1 |      |

|2 |      |

|3 |      |

Sky Area

Type the names of up to six (6) family members, friends, or pets that have passed away. Please provide the names and identify their relationship to you and/or your partner.

|1 |      |

|2 |      |

|3 |      |

|4 |      |

|5 |      |

|6 |      |

Personalized Line of Text

(optional) If you would like a personalized line of text to appear under your print, type it here.

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Submit Form

When you are finished, save this form and e-mail it to us at: stories@

Also, very important… please remember to type your order number, last name and ”keywords” in the e-mails subject box.

Example: 0000-A Jones. keywords

Alternately, you may fax your keyword list to: Don McLean, 248-474-7525.

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