Photo Order Sheet (please print clearly)
| Name: John Smith | |
| Street Address: 101 1st Street | |
| City: Brownsburg | |
| State: IN | Zip Code: 46112 |
| Gallery Name: Family Name or Bride & Groom | Method of payment: (mark one)
Amt:$__________ for credit card payments complete bottom of form |
| cash____ check #_1359____ credit card_______ |
| Photo Name/number | Quantity | Size | Description & special instructions | Price |
| 01 Bride (03)BW | 1 | 8 x 10 | black & white bride with bouquet | $ 20.00 |
| 07 Ceremony (22) | 1 | 5 x 7 | bride & groom kiss | |
| 10 Cake cutting (02) | 1 | 5 x 7 | groom feeding bride cake | 20.00 |
| 17 Dance (45) | 1 | 4 x 6 | bride & groom dance | |
| 11D Guys (09) | 1 | 4 x 6 | groom and groomsmen | |
| 06 Ceremony (35) | 1 | 4 x 6 | couple at alter | 20.00 |
| 10 bride & groom (22) | 9 | wallet | bride & groom sitting | 20.00 |
| Shipping (add $6.00 for shipping) | $ 6.00 | |||
| Total Payment enclosed | $ 86.00 | |||
For Credit Card Orders: mailing address must match billing address on your card
We may request verification of security code from the back of card via telephone
Print Name as it appears on credit card: ________________________________________________
|
|
mark an X through type of cardCall with:
Card Number: ________-________-_______-________ Expiration Date: _____/_____ (mm/yy)