keepsake application Name * First Name Last Name Email * Instagram Handle If applicable Preferred Start Date * use today's date to imply "as soon as possible" MM DD YYYY Choose between Membership or A La Carte and how select how many pieces you'd like. Keepsake Membership 4 Piece Biannual 4 Piece Quarterly 6 Piece Biannual 6 Piece Quarterly 8 Piece Biannual 8 Piece Quarterly A la Carte Keepsake Box Mini Keepsake Box 4 Piece Keepsake 6 Piece Keepsake 8 Piece Keepsake Please check this box if you wish to upgrade your box with NO accessories Fees apply Yes! Please check this box if you wish to add Premium Offerings to your box Fees apply Yes! Leave a link to your Pinterest moodboard below. * (make sure it's not set to private and has a minimum of 35 pins!) Size Information * Personal Notes / Requests * I have read and agree to the disclaimers * yes Thank you!