Cherished Keepsakes Parchment Order Form
Mail this form to Mike Lizonitz, 90 Center Street, Hughestown, PA 18640

If you came to this page directly, please click on the links at the bottom of the page
to view the Professionally Printed Pet Parchments!

Please print out this form by going to (File then Print) in your browser and please fill out all the info so you can receive your Free Parchment.
There is no catch to this offer. I have some health problems so I am unable to continue servicing my customers and rather than see these go to waste, I am making them available to Pet Lovers who are willing to cover the costs involved with receiving one. All I request is that you send $5.00 in Cash, Check or Money Order to cover these costs:

You can verify these costs just by making some phone calls!

Please fill out the info below:
U.S. Orders Only:

Your Name__________________________________________________

Your Address________________________________________________

2ND LINE Of Address_________________________________________

City, State, Zip_______________________________________________

Your Email Address___________________________________________
(Email Add. is needed in case there is a question or problem)

NOTE:The Dog & Cat Memorials are preprinted with the dates "From 19__ to 19__" where you personalize it with the pet's info. If your pet passed away later than 12-31-1999, you will just have to cover over the last "19" with the stick on letters you will use to put in your pet's personal information.
I just want to make everyone aware of this before they send any money. Many people have already done this and are very happy with them but I do like to mention it. Due to health reasons I haven't reprinted them for the new century.


NOTE: The Dog & Cat Tributes do not have the dates preprinted on them so there is nothing to cover up on those. These are ready to go no matter what year you adopted your pet.

Make Checks or Money Orders Payable to: Mike Lizonitz

Please Choose One:

(__DOG MEMORIAL) ( __CAT MEMORIAL) (__DOG TRIBUTE) (__CAT TRIBUTE)

Please fill out the info below only if you want the Parchment
sent to a different address:

Name______________________________________________________

Address____________________________________________________

2ND LINE Of Address_________________________________________

City, State, Zip_______________________________________________

If you want info on ordering larger quantities,
please email me
E-mail
and give me an idea of how many you want to receive
and I will see what I can work out for you.

Cat Tribute | Dog Tribute | Cat Memorial | Dog Memorial
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