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Please fill out the following information if you would like a representative from Shake Loose a Memory to contact you. To place an order, see payment options below.

*Required Fields

    
Name*
Company
Address
 
City
State
Zip/Postal Code
Country
Telephone Number*
Fax Number
Email Address*
   

Questions or Inquiries

   

Place an Order:

Payment Options:

Paypal: (for easy online payments)

Using the paypal link located below, make a payment of $27.00 per game (taxes and shipping included). Game selection may be indicated by filling out the "Item" field on the paypal site.

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Mail or Fax:

Enclose a check for $27.00 and mail payment along with an order form to the address listed below. Order forms may also be faxed to: (425) 333-4675.

order form

All checks should be made payable to:

Shake Loose a Memory, Inc.
PO Box 934
Carnation, WA 98014

 

 

 

Shake Loose a Memory, Inc.
email: shakelooseamemory@comcast.net
phone: 425-788-5205 fax: 425-333-4675
PO Box 934, Carnation, Washington, 98014, USA