You may print this page and send it with your payment or complete it online. Click here for printable form. By filling-out this form entirely, we'll be able to better assess the writing and production costs for your personal Create-A-Gram®. PLEASE NOTE: You will receive a no-obligation quote by e-mail, but please be aware that all quotes are approximations only, and the final cost may vary depending on alterations and/or additions that are made during the production of your greeting. You will, however, be given the final price before we go to studio production and you will not be charged anything more than what we quote at that time. Again, there is no obligation to you whatsoever by filling-out this form. PLEASE ALLOW 3 - 5 DAYS FOR YOUR NO-OBLIGATION QUOTE   ------------PERSONAL INFORMATION ------------   Your Full Name (required) Your Home Phone (optional) Your Business Phone (optional) Your Fax number (optional) Your E-mail Address (required) Your Mailing Address (quote by snail-mail only) IMPORTANT OPTION: If the phone number(s) and/or e-mail address is shared by the recipient of this Create-A-Gram® Product, please provide an alternate number and e-mail so we don't spoil the surprise when we confirm your order: ALTERNATE PHONE: ALTERNATE E-MAIL ADDRESS: Your desired method of correspondance is: E-mail          Fax          Postal Service          Phone   ----------PRODUCTION INFORMATION ----------   Choose the type of Create-A-Gram® that would most interest you: Scene from a News BroadcastScene from a Documentary Scene from a CommercialScene from an Old Detective Radio DramaScene from a MovieYour Custom Song On CD (your info used to create an original song)Your Biography On Film (your info used to create an original movie) or Suggest a Scenario here:   Choose the type of media you would like your Create-A-Gram® on: Compact DiscDVDVHS TapeCD-ROM Data FileDownloadable (no shipping charge)   There will only be one recipient, or there will be multiple recipients If multiple recipients, how many copies will you need?   This Create-A-Gram® is needed by The City for delivery is If applicable, enter your Create-A-Gram® Gift Certificate Number   ----------SUBJECT INFORMATION ---------- (SERIOUS INQUIRIES ONLY PLEASE) Please complete as many of the fields as possible. Remember... the more "ammo" we have, the more personalized your gift will be! What is the Subject's name? What is the Subject's age? What is the Occasion? What is his/her Occupation? Can you list any Hobbies? Does he/she have any Favourite Film? Does he/she have a Favourite Song? Does he/she have a Favourite Book? What about his/her Favourite Foods? Does he/she have a Favourite Drink? What about a Favourite Actor or Artist? Does he/she have a Favourite Author? What is his/her Favourite Sport? What is his/her Favourite Colour? Any Good Deeds that you're aware of? Does he/she have any Bad Habits? Does he/she have any funny or cute Nicknames? Any of his/her Accomplishments? Is there Anything Else we should know?   Want to start over? Want to send this information now? Want to print this form and fax it to us? Our fax# is 613-247-9573 This form Updated January 1st, 2005 Create-A-Gram® is a registered trademark of Norman Mikeal Berketa GST# 879361111RT0001 ©2006 NMB Productions