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Dignity Memorial Order Form
Photo
Item
Price
Quantity
Total
Name Tag
DM056 - Name Tag Release - Add Name(s) and style in the Comment box
Q
T
Pens
DM001 - The Nash Pen - Minimum 100 pcs
Q
T
Pens
DM002 - The Nash Pen Sil/Sil w Blue Ink - Minimum 300 pcs
Q
T
Pens
La Jolla Stylus - Custom Minimum 250 pcs
Q
T
Pens
The Zenith Pen - Custom Minimum 300 pcs
Q
T
Pens
DM005 - SoHo Roller Pen Set - Minimum 12 pcs
Q
T
Pens
DM006 - SoHo Ballpoint Pen - Minimum 12 pcs
Q
T
Bags
DM010 - Grocery Tote - Minimum 50 pcs
Q
T
Bags
DM011 - White Gift Bag - Minimum 50 pcs
Q
T
Bags
DM013 - Zeus Tote - Minimum 50 pcs
Q
T
Bags
DM017 - Small Colour Paper Bags - Set of 12
Q
T
Bags
DM018 - Medium Colour Paper Bags - Set of 12
Q
T
Bags
DM019 - Garment Bag - Minimum 12 pcs
Q
T
Bags
DM033 - Jewelry Pouches - Set of 50
Q
T
Bags
DM034 - Zippered Jewelry Pouches - Minimum 12 pcs
Q
T
Bags
DM014 - Urn Bag - Minimum 12 Pcs
Q
T
Desktop
DM007B - 8GB USB - Bilingual - Minimum 6 Pcs
Q
T
Desktop
DM054 - Mousepad - Minimum 6 pcs
Q
T
Stationary
DM053 - 10 Cards - Set of 200
Q
T
Unbrella
DM043 - 62" Vented Umbrella - Minimum 4 Pcs
Q
T
Umbrella
DM044 - 60" Umbrella - Minimum 4 Pcs
Q
T
Cups
DM040 - Paper Coffee Cup - Case of 1000
Q
T
Cups
DM045 - Coffee Cup Lids /Case of 1000
Q
T
Cups
DM046 - Coffee Cup Sleeve /Case of 1000
Q
T
Tissues
DM041 - Tissue Packs - Case of 500
Q
T
Moist Towelette Sold Out
DM042 - Moist Towelette
Q
T
Candy
DM086 - Wrapped Green Striped Spearmint
Q
T
Candy
DM085 - Wrapped Peppermint Soft Mints
Q
T
Bear
DM024 - Empathy bear
Q
T
Emery Board
DM074 - Emery Board - Minimum 100 Pcs
Q
T
Drinkware
DM065 - White Coffee Mug - Minimum 12 pcs
Q
T
Drinkware
DM095 - Wine Glasses - Minimum 6 sets of 2
Q
T
Drinkware
DM090 - 14oz. TRAVEL MUG - Minimum 12 pcs
Q
T
Drinkware
DM091 - 17oz. CERAMIC MUG - Minimum 12 pcs
Q
T
Drinkware
DM093 - 26oz. ALUMINUM SPORTS BOTTLE - Minimum 12 pcs
Q
T
Drinkware
DM029 - Labels for Water Bottles - Roll of 100
Q
T
Golf
DM061 - Warbird 2.0 Golf Balls - Minimum 1 Dozen
Q
T
Golf
DM068 - 5 Pack Golf Tees - Minimum 50 Pieces
Q
T
Stationary
DM051 - Note Pads - Minimum 50 pcs
Q
T
Stationary
DM055 - Notebook with pen - Minimum 50 pcs
Q
T
Stationary
DM050 - Sticky Notes - Minimum 50 pcs
Q
T
Stationary
DM057 - Dignity Thank You Cards w/ Envelopes - Set of 200
Q
T
Apparel
Soft Shell Jacket
Q
T
Apparel
Performance Polo 1
Q
T
Apparel
Performance Polo 2
Q
T
Apparel
Caring for Community T-Shirt Sm-XL Minimum 12 pcs
Q
T
Caring for Community T-Shirt XXL Combined Minimum 12 pcs
Caring for Community T-Shirt 3-5XL Combined Minimum 12 pcs
Apparel
Cotton Twill Cap
Q
T
Apparel
Deluxe Chino Twill Cap Minimum 6 pcs
Q
T
Towel
DM020 - Hand Towel Set - Set of 24 pcs
Q
T
Hand Cleaner is Back in Stock
DM062 - Hand Cleaner Spray - Minimum 10 pcs
Q
T
Lip Balm
DM072 - All Natural Lip Balm - Minimum 25 pcs
Q
T
Pill Case
DM060 - 7-Day Pill Case - Minimum 50 pcs
Q
T
Other
DM067 - Eyeglass Repair Kit - Minimum 50 pcs
Q
T
Other
DM073 - Lens Cloth - Minimum 50 pcs
Q
T
Other
DM066 - Wave Key Ring - Minimum 50 pcs
Q
T
Other
Hand Fan - Minimum 50 pcs
Q
T
Other
DM071 - Sunscreen - Minimum 50 pcs
Q
T
Sub-Total:
Total:
Billing Information
Logo in Choice of English or French*
English
French
Order Location - Ontario
Choose a Location
3001 Jerrett Funeral Homes-St. Clair
3002 Jerrett Funeral Homes-NY
3003 Jerrett Funeral Homes-Scarb.
3071 GTA Market PPA Team
3085 RS Kane
3093 Paul O’Connor Funeral Home
3115 Kaye Funeral Home
3121 Cresmount Funeral Home ``Fennell Chapel``
3122 Markey-Dermody Funeral Home
3123 Award Limousine Services
3137 Hetherington & Deans Funeral Chapel
3141 Barthel Funeral Home
3152 Jerrett Funeral Homes -Vaughan
3155 Rosar-Morrison Funeral Home
3162 Thompson Funeral Home
3163 Andrews Community Fun. Ctr.
3174 Hulse & English Funeral Home & Chapel
3184 Cresmount Funeral Home ``Upper James Chapel``
3186 Truscott, Brown & Dwyer Funeral Chapel
3190 Needham Funeral Service
3543 Market Director
3543 Administrative Assistant
3594 Assistant to Managing Director
3614 Personal Care Centre
3687 Thorpe Brothers Funeral Home & Chapel
3688 Westmount Memorial Celebration Centre
3707 Courtice Funeral Chapel
3762 Coutts Funeral Home & Cremation Centre
3763 T. Little Funeral Home & Cremation Centre
3764 Marlatt Funeral Home & Cremation Centre
3765 Marlatt Funeral Home & Cremation Centre
3768 Comstock Funeral Home
3773 Delmoro Funeral Home
3774 Oshawa Funeral Service
3776 Arthur Funeral Home
3777 Barton & Kiteley Fh
3778 Giffen-Mack Funeral Home
3779 Trull Funeral Home
3780 Trull Funeral Home
3781 Giffen-Mack Funeral Home
3782 Anderson Funeral Home & Cremation Centre
3783 Walter D. Kelly Life Celebration Centre
3954 Jerrett Funeral Homes Vaughan Chapel
Ship to Address - Ontario
Choose an Address
3001 - 1141 St. Clair Ave. W., Toronto ON M6E 1B1
3002 - 6191 Yonge St., North York ON M2M 4K4
3003 - 660 Kennedy Rd., Scarborough ON M1K 2B5
3085 - 6150 Yonge St. North York, ON M2M 3W9
3093 - 1939 Lawrence Ave, Scarborough, ON M1R 2Y8
3115 - 539 George St. N., Peterborough ON K9H 3S1
3121 - 322 Fennell Ave. East, Hamilton ON L9A 1T2
3122 - 1774 King St. East, Hamilton ON L8K 1V7
3123 - 100 Oxford St., Hamilton ON L8R 2X1
3137 - 5176 Victoria Ave., Niagara Falls ON L2E 4E3
3141 - 566 Queenston Rd., Cambridge ON N3H 3J8
3152 - 8088 Yonge St., Thornhill ON L4J 1W3
3155 - 467 Sherbourne St, Toronto ON M4X 1K5
3162 - 530 Industrial Parkway South, Aurora ON L4G 6W8
3163 - 8190 Dixie Rd., Brampton ON L6T 5N9
3174 - 75 Church St., St. Catharines ON L2R 3C7
3184 - 1020 Upper James St., Hamilton ON L9C 3A8
3186 - 1309 King. St. E., Hamilton ON L8M 1H2
3190 - 520 Dundas St., London ON N6B 1W6
3543 - 322 Fennell Ave. E., Hamilton ON L9A 1T2
3594 - 8088 Yonge Street, Thornhill, ON L4J 1W3
3614 - 61 Beverly Hills Drive, North York ON M3L 1A2
3687 - 96 West St., Brantford ON N3T 3E7
3688 - 1001 Ottawa St. S., Kitchener ON N2E 2X5
3707 - 1587 Highway #2 Courtice, ON L1E 2R7
3762 - 96 St. Andrews Street, Cambridge ON N1S 1M8
3763 - 223 Main Street, Cambridge ON N1R 1X2
3764 - 195 King Street West, Dundas ON L9H 1V5
3765 - 615 Main Street East, Hamilton ON L8M 1J4
3768 - 356 Rubidge Street, Peterborough ON K9H 4C7
3773 - 61 Beverly Hills Drive, North York ON M3L 1A2
3774 - 847 King Street West, Oshawa ON L1J 2L4
3776 - 492 Wellington Street East, Sault Ste. Marie ON P6A 2L9
3777 - 165 Brock Street, Sault Ste. Marie ON P6A 3B8
3778 - 2570 Danforth Avenue, Toronto ON M4C 1L3
3779 - 1111 Danforth Ave, Toronto ON M4J 1M5
3780 - 2704 Yonge Street, Toronto ON M4N 2H7
3781 - 4115 Lawrence Avenue E., West Hill ON M1E 2S2
3782 - 895 Ouellette Avenue, Windsor ON N9A 4J5
3783 - 1969 Wyandotte Street East, Windsor ON N8Y 1E5
3954 - 8088 Yonge Street, Thornhill ON L4J 1W3
Order Location - Quebec
Choose a Location
3101 - Résidences funéraires Collins Clarke MacGillivray White
3102 - Résidences funéraires Collins Clarke MacGillivray White
3158 - Résidences funéraires Laurent Thériault
3189 - Centre funéraire Côte-des-Neiges inc.
3608 - Résidences funéraires Collins Clarke MacGillivray White
5467 - Complexe Funéraire T. Sansregret
5468 - Complexe Funéraire T. Sansregret
3786 - Les Salons Funeraires Guay Inc.
3787 - Les Salons Funeraires Guay Inc.
3789 - Les Salons Funeraires Guay Inc.
3790 - Les Salons Funeraires Guay Inc.
3791 - Les Salons Funeraires Guay Inc.
3792 - Les Salons Funeraires Guay Inc.
3793 - Les Salons Funeraires Guay Inc.
3794 - Les Salons Funeraires Guay Inc.
3795 - Les Salons Funeraires Guay Inc.
3796 - Les Salons Funeraires Guay Inc.
3797 - Les Salons Funeraires Guay Inc.
3798 - Les Salons Funeraires Guay Inc.
3131 - La Maison Darche services funéraires
3133 - La Maison Darche services funéraires
3134 - La Maison Darche services funéraires
3135 - La Maison Darche services funéraires
3136 - Salon funéraire Henri Guérin
3151 - Résidences funéraires Mongeau
3832 - Résidences funéraires Mongeau
3157 - Complexe funéraire Sylvio Marceau
3176 - Complexe funéraire Sylvio Marceau
3834 - Complexe funéraire Sylvio Marceau
3129 - Complexe funéraire Bérubé & fils
3825 - Résidences funéraires Gravel & fils
3146 - Résidences funéraires Gravel & fils
3826 - Résidences funéraires Gravel & fils
3120 - Maison funéraire Nault & Caron
3816 - Maison funéraire Nault & Caron
3817 - Maison funéraire Nault & Caron
3818 - Maison funéraire Nault & Caron
Ship to Address - Quebec
Choose an Address
3101 - 5610 rue Sherbrooke ouest, Montréal, QC H4A 1W5
3102 - 222 Autoroute 20, Pointe Claire, QC H9S 3X6
3158 - 510 rue de l`Église, Verdun, QC H4G 2M4
3189 - 4525 chemin de la Côte-des-Neiges, Montréal, QC H3V 1E7
3608 - 307 promenade Riverside, St-Lambert, QC J4P 1A7
5467 - 3198 rue Ontario est, Montréal, QC H1W 1P2
5468 - 4419 rue Beaubien est, Montréal, QC H1T 1T2
3786 - 495 Rue Boileau, L`Annonciation, QC J0T 1T0
3787 - 974 rue Van Chesteing, Mont-Tremblant, QC J8E 3H7
3789 - 156 Rue Notre-Dame, Oka, QC JON 1E0
3790 - 955 Rue Grignon, Ste. Adele, QC J8B 2R7
3791 - 7020 Boul. Mille-Iles, Laval, QC H7A 4B3
3792 - 384 Rue Notre-Dame, Le Gardeur, QC J5Z 1S3
3793 - 5 rue Leblanc, L`Epiphanie, QC J5X 3Y5
3794 - 850 Montee Masson, Mascouche, QC J7K 2L7
3795 - 17745 rue Victor, Mirabel, QC J7J 1L4
3796 - 418, Boul. Labelle, Rosemere, QC J7A 3R8
3797 - 146 Rue St-Louis, St-Eustache, QC J7R 1Y2
3798 - 756 Rue St-Louis, Terrebonne, QC J6W 1J8
3131 - 505, boul. Curé Poirier ouest, Longueuil, QC J4J 2H5
3133 - 7679, boul. Taschereau, Brossard, QC J4Y 1A2
3134 - 6500, boul. Cousineau, Saint-Hubert, QC J3Y 8Z4
3135 - 933, boul. Périgny, Chambly, QC J3L 5H5
3136 - 425, ch. Saint-Jean, La Prairie, QC J5R 2K8
3151 - 1115, rue Girouard ouest, St-Hyacinthe, QC J2S 2Y9
3832 - 244, rue St-Paul, St-Pie, QC J0H 1W0
3157 - 224, rue St-Vallier ouest, Quebec, QC G1K 1K2
3176 - 15015, boul Henri Bourassa, Quebec, QC G1G 3Z2
3834 - 1460, rue Notre-Dame, Ancienne-Lorette, QC G2N 1S1
3129 - 620, boul. Dequen nord, Alma, QC G8B 5V8
3825 - 873, rue de la Fabrique, La Baie, QC G7B 2S7
3146 - 825, rue Bégin, Chicoutimi, QC G7H 4N7
3826 - 304 rue Racine est, Chicoutimi, QC G7H 1S6
3120 - 3970, de la Fabrique, Jonquière, QC G7X 3N2
3816 - 2295, rue St Jean Baptiste, Jonquière, QC G8A 1W3
3817 - 2770, rue de la Salle, Jonquière, QC G7S 2A4
3818 - 2033, rue Ste-Famille, Jonquière, QC G7X 4X5
Order Location - Maritimes
Choose a Location
NOVA SCOTIA
3557 Market Director
3557 Administrative Assistant
3180 GM - Cape Breton
3004 GM - Halifax / Dartmouth
3004 J.A. Snow Funeral Home
3177 T.W. Curry Parkview Chapel
3178 Inverness Funeral Home
3841 Fillmore & Whitman Funeral Home
3179 Fillmore & Whitman Funeral Home
3180 Patten Funeral Home
3193 Sydney Crematorium
3604 T.W. Curry Parkview Chapel & Crematory
3756 A.L. Mattatall Funeral Home
3757 Jayne`s Funeral Home
3758 Cruikshank`s Halifax Funeral Home
3761 Jayne`s Funeral Home
3875 Harbourside Crematorium
3876 Halifax Central Care Center
6805 Harbourside Regional Crematorium
NEW BRUNSWICK
3198 GM - New Brusnwick
3198 Salons funéraires Maher
3609 Maher`s Crematorium
3842 Salons funéraires Maher
3843 Salons funéraires Maher
3844 Salons funéraires Maher
3845 Salons funéraires Maher
Ship to Address - Maritimes
Choose an Address
NOVA SCOTIA
3557 339 Lacewood Drive Halifax NS B3S 0E1
3557 339 Lacewood Drive Halifax NS B3S 0E1
3180 755 George St. Sydney NS B1P 1L4
3004 2666 Windsor Street Halifax NS B3K 5C9
3004 339 Lacewood Drive Halifax NS B3S 0E1
3177 755 George St. Sydney NS B1P 1L4
3178 Box 717, 45 Maclsaac St. Inverness NS B0E 1N0
3841 36205 Cabot Trail Ingonish NS B0C 1K0
3179 10 Clyde Ave. Sydney Mines NS B1V 2E4
3180 71 Union St. Glace Bay NS B1A 2P6
3193 400 George Street Sydney NS B1P 1K3
3604 400 George Street Sydney NS B1P 1K3
3756 217 Portland Street Dartmouth NS B2Y 1J5
3757 7 Birch Street Digby NS B0V 1A0
3758 2666 Windsor Street Halifax NS B3K 5C9
3761 Highway No. 1 Weymouth NS B0W 3T0
3875 2632 King Street Halifax NS B3K 5C9
3876 2632 King Street Halifax NS B3K 5C9
6805 2632 King Street Halifax NS B3K 5C9
NEW BRUNSWICK
3198 33, rue Landsdowne St. W. Campbellton NB E3N 2L7
3198 33, rue Landsdowne St. W. Campbellton NB E3N 2L7
3609 33, rue Landsdowne St. W. Campbellton NB E3N 2L7
3842 421 Victoria St. Dalhousie NB E8C 2V2
3843 517 Avenue des Pionniers Balmoral NB E8E 1B3
3844 Val d-Amour NB E3N 3G4
3845 64 Landsdowne St. West Campbellton NB E3N 5M5
Name of Person Ordering*
Phone:*
Email:*
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