Judy's Precious Memories           

 

Judy's Precious Memories                                                                                               2440 Falcon Ave.                                                                                                           White City, OR  97503                                                                                                  (541) 826-2223

 

First Name:

Last Name: 

Address 1:  

Address 2:  

City:                             State:      

Zip:                             Phone:       

Email:          

Please Check Pillow Request:

Wedding                          Birth                      Anniversary           Graduation

Baby:                Boy                          Girl                           Twins

Baby(s) Full Name: 

Date of Birth:           mm/dd/yy

Time of Birth:          

Pounds:        Ounces:     Length:   

Parents Names:  

 

                                                                 

 

                                

 

 

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