Student Information
Student Name
Shipping Information
Guardian Name
Address Line 1
Address Line 2
City, State Zip	,
Contact Information
Phone Number	Email Address
Notes

If ordering Combo or Class Print, which Class would you like printed?

Package	Package Description	Price	Quantity	Total
A	Portrait: 2 - 5X7	$12		$
B	Portrait: 1 - 8X10, 2 - 5X7	$20		$
C	Portrait: 1 - 8X10, 2 - 5X7, 4 - Wallets	$25		$
D	Portrait Special: 2 - 8X10, 2 - 5X7, 4 - 4X6, 8 Wallets PLUS receive emailed portrait	$50		$
E	Portrait: 2 - 5X7	$15		$
F	Bordered Portrait: 1 - 8X10 and 2 - 5X7	$25		$
G	Bordered Portrait: 1 - 8X10, 2 - 5X7, 4 - Wallets	$30		$
H	Border Special: 2 - 8X10 and 2 - 5X7, 4 - 4X6, 8 Wallets PLUS receive emailed bordered portrait	$60		$
I	Combo Print 1 - 8X10	$15		$
	Add-Ons: Available only with package purchase
	1. 5X7 Bordered Class	$8		$
	2. 8X10 Bordered Class	$10		$
	3. 8X10 Portrait	$10		$
	4. 8X10 Bordered Portrait	$12		$
Shipping and Handling				$
Grand Total				$
Payment		* **