ࡱ> g bjbjVV ;r<r<}%.\F}!\}0$$$$$$$$&f)v%9!}}!!%@%###!$#!$###" #$V%0%#)")#)#L6#/ ,[ f%%k#R%!!!!) :  Family Facts Form to be completed when ordering Ancestors Mugs from My History Please double click in each grey box on this form and fill in with all the appropriate details. When you have completed the form, email it to sales@my-history.co.uk. If you have already placed your order online then we suggest you reply to the order confirmation email that was sent to you and attach this document to it. Alternatively, print it out and send it back to us by post along with your payment. If you have placed your order on our website already then there is no need to fill in your address or payment details. Please just quote the order ref. from the email you will have received from our online order process. Order ref. from online ordering system FORMTEXT Please key your online order ref. hereYour Name: FORMTEXT Please enter your own name here Address details are only required if you have not used our online ordering system. Address Line 1 FORMTEXT House number/name & StreetAddress Line 2 FORMTEXT Address Line 2Town/City FORMTEXT Town/CityCounty FORMTEXT CountyPostcode FORMTEXT PostcodeOrder ref. from online ordering system FORMTEXT Address Line 1 Main PersonDetails of ChildFirst Names: FORMTEXT Enter the persons first names hereSurname: FORMTEXT Enter the persons surname hereSex (M or F) FORMTEXT  Date of Birth: dd/mmm/yyyy FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of Birth: FORMTEXT Enter the place of birth herePicture sent via email FORMCHECKBOX  we can accept all popular file formatsPicture sent by post on disk FORMCHECKBOX  we can accept all popular file formatsOriginal Photo sent by post FORMCHECKBOX  we will return the original with your proofParentsFatherFirst Names: FORMTEXT Enter the persons first names hereSurname: FORMTEXT Enter the persons surname hereDate of Birth: dd/mmm/yyyy FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of Birth: FORMTEXT Enter the place of birth hereDate of Death: FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of Death: FORMTEXT Enter the place of death hereMotherFirst Names: FORMTEXT Enter the persons first names hereMaiden name: FORMTEXT Enter their maiden name hereDate of Birth: dd/mmm/yyyy FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of Birth: FORMTEXT Enter the place of birth hereDate of Death: FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of Death: FORMTEXT Enter the place of death hereMarriage DetailsDate of Marriage: FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of marriage: FORMTEXT Enter the place of marriage here Continued on 2nd page GrandparentsFathers ParentsGrandfatherFirst Names: FORMTEXT Enter the persons first names hereSurname: FORMTEXT Enter the persons surname hereDate of Birth: dd/mmm/yyyy FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of Birth: FORMTEXT Enter the place of birth hereDate of Death; FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of Death: FORMTEXT Enter the place of death hereGrandmotherFirst Names: FORMTEXT Enter the persons first names hereMaiden name: FORMTEXT Enter their maiden name hereDate of Birth: dd/mmm/yyyy FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of Birth: FORMTEXT Enter the place of birth hereDate of Death: FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of Death: FORMTEXT Enter the place of death hereMarriage DetailsDate of Marriage: FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of marriage: FORMTEXT Enter the place of marriage hereMothers ParentsGrandfatherFirst Names: FORMTEXT Enter the persons first names hereSurname: FORMTEXT Enter the persons surname hereDate of Birth: dd/mmm/yyyy FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of Birth: FORMTEXT Enter the place of birth hereDate of Death: FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of Death: FORMTEXT Enter the place of death hereGrandmotherFirst Names: FORMTEXT Enter the persons first names hereMaiden name: FORMTEXT Enter their maiden name hereDate of Birth: dd/mmm/yyyy FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of Birth: FORMTEXT Enter the place of birth hereDate of Death: FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of Death: FORMTEXT Enter the place of death hereMarriage DetailsDate of Marriage: FORMTEXT 01 \  FORMTEXT Jan \  FORMTEXT 1900Place of marriage: FORMTEXT Enter the place of marriage here If you require mugs for other children with the same parents and grandparents, then you do not need to fill in the 2nd and 3rd columns on additional sheets We will delete your information from our system approximately 10 weeks* after dispatch of your finished mug. However before you receive your mug we will send you a proof of what we will be printing on your mug so that you may confirm that everything is in order. *Many customers come back for more copies within this time. Please supply a photograph either on disc or an original for us to scan. Original will be returned by post with your proof. 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