Commemorative Rosaries Order Form

Please complete the order form, print, and mail to:

Commemorative Rosaries
2945 S. Scott St.
Des Plaines, IL 60018

Personal Information:

Name

Phone

E-mail

Address

City

State
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Zip

Name of Deceased:

Engraving (optional):

Will appear on reverse of Crucifix; maximum 20 letters and or numbers

Qty.	Item	Item Price	Chain Length	Sub- Total
	Rose Petal Capped Rosary	$85.00 engraved: $105.00	—
Engraving (optional): Will appear on reverse of Crucifix; maximum 20 letters and or numbers
	Rose Petal Uncapped Rosary	$75.00 engraved: $95.00	—
Engraving (optional): Will appear on reverse of Crucifix; maximum 20 letters and or numbers
	Rose Petal Capped Chaplet	$40.00 engraved: $60.00	—
Engraving (optional): Will appear on reverse of Crucifix; maximum 20 letters and or numbers
	Rose Petal Uncapped Chaplet	$35.00 engraved: $55.00	—
Engraving (optional): Will appear on reverse of Crucifix; maximum 20 letters and or numbers
	Rose Petal Rosary Necklace	$50.00
	Rose Petal Necklace with Medal	$40.00
	Rose Petal Cross Necklace	$40.00
	Rose Petal Caged Bead Necklace	$40.00
	Rose Petal Beaded Necklace	$45.00	16" only
	Rose Petal Single Bead Necklace	$30.00
	Rose Petal Rosary Bracelet	$45.00	—
	Rose Petal Bracelet	$40.00	—
	Rose Petal Earrings	$30.00	—
	Rose Petal Bookmark (Choose from options below)	$35.00	—
		Guardian		—
		St Christopher Medal		—
		Crucifix		—
Engraving (optional): Will appear on reverse of Crucifix; maximum 20 letters and or numbers
	Rose Petal Car Medal (Choose from options below)	$40.00 engraved: $60.00	—
		Guardian		—
		St Christopher Medal		—
		Crucifix		—
Engraving (optional): Will appear on reverse of Crucifix; maximum 20 letters and or numbers
	Rose Petal Single Bead	$2.00	—
	Rose Petal Charm	$10.00	—
Sub-Total
Please Add $6.00 if order to be returned by mail
TOTAL
Any Special Instructions:

You may call us toll free: 1-866-247-4572

All orders will be completed within 4 weeks.

Thank you!

NOTE: Please send only the rose petals. Rose petals can be placed in a large paper envelope or a box. NO PLASTIC! Roses can be fresh or dried. We require payment in full with order. If you have any questions, please call us at 1-866-247-4572.