LARRY E. MCCALL
                                             VIDEO TRANSFER
                                               2702 CHEW ST.
                                           HOUSTON TX 77020
                                                713/6749311

                                            MEMORIAL TRIBUTE

NAME________________________________DATE_______
ADDRESS________________________________________
CITY_____________________STATE_______ZIP________
email_____________________PH____________________
MUSIC CATAGORY:  INSPIRATIONAL
(
I'M SUBMITTING MY OWN MUSIC OF 4 SELECTIONS

FUNERAL HOME/MORTUARY_________________________
ADDRESS________________________________________
CITY_____________________STATE_______ZIP________
PHONE________________________________

                                                PRESENTS
                                              (CHECK  ONE)

                       __IN LOVING MEMORY OF
                       __THE HOME GOING CELEBRATION OF
                       __THE FUNERAL SERVICE OF
                       __A CELEBRATION OF LIFE FOR

NAME___________________________________________
SUNRISE__________________SUNSET________________
FUNERAL DATE__________________TIME_____________
FUNERAL LOCATION (CHURCH,CHAPEL, ETC._____________
FUNERAL LOCATION ADDRESS_______________________
PASTOR/REV.___________________________________
INTERMENT_____________________________________

                                     PICTURE REQUIREMENTS

(1) PICTURES SHOULD BE NO LARGER THAN 5X7.
(2) NUMBER THE BACK OF EACH PHOTO LIGHTLY IN PENCIL, 
       AS TO WHAT ORDER YOU THEM VIEWED IN.
(3) SUBMIT UP TO 40 PHOTOS.
(4) NUMBER OF PHOTOS SUBMITTED__________

                                                                      (QUESTIONS ?)
                                                 email:info@mcallvideotransfer.info