Order Form
Name:______________________________________
Mailing Address: ________________________________________
City ____________________ State ______________ Zip ________
Event: ________________________________________________
Group Pictures:
16x20 --------------------------------------- qty. _____ x $25.00 = $________
11x14 --------------------------------------- qty. _____ x $17.00 = $________
8x10 ---------------------------------------- qty. _____ x $10.00 = $________
Headshots
8x 10 -- __Color __Bl/Wt --------------- qty. _____ x $13.00 = $________
5x7 -- __Color __Bl/Wt ------------------ qty. _____ x $7.00 = $________
4x6 -- __Color __Bl/Wt ------------------ qty. _____ x $5.00 = $________
Show Prints
8x10 ----------------------------------- total qty. _____ x $6.00 = $________
Image Numbers (will assume 1 print of each unless otherwise noted) _____________________________________________________
5x7 ------------------------------------ total qty. _____ x $4.00 = $________
Image Numbers (will assume 1 print of each unless otherwise noted) _____________________________________________________
4x6 ------------------------------------ total qty. _____ x $3.00 = $________
Image Numbers (will assume 1 print of each unless otherwise noted) __________________________________________________________________________________________________________
Disc Without Headshot ----------- total qty. _____ x $10.00 = $________
Image Numbers (15 images) _________________________________ __________________________________________________________________________________________________________
With Headshot --------------------- total qty. _____ x $15.00 = $________ Name ________________________________________
Additional Images ---- total qty. ______ x $2.00/5 images = $________ Image Numbers (charged in groups of 5 images) ___________________ _____________________________________________________
_____________________________________________________
Subtotal ------------ $_________
Tax and Shipping Charge (see shipping info) ------------ $_________
TOTAL ------------ $_________
Mailing Address: ________________________________________
City ____________________ State ______________ Zip ________
Event: ________________________________________________
Group Pictures:
16x20 --------------------------------------- qty. _____ x $25.00 = $________
11x14 --------------------------------------- qty. _____ x $17.00 = $________
8x10 ---------------------------------------- qty. _____ x $10.00 = $________
Headshots
8x 10 -- __Color __Bl/Wt --------------- qty. _____ x $13.00 = $________
5x7 -- __Color __Bl/Wt ------------------ qty. _____ x $7.00 = $________
4x6 -- __Color __Bl/Wt ------------------ qty. _____ x $5.00 = $________
Show Prints
8x10 ----------------------------------- total qty. _____ x $6.00 = $________
Image Numbers (will assume 1 print of each unless otherwise noted) _____________________________________________________
5x7 ------------------------------------ total qty. _____ x $4.00 = $________
Image Numbers (will assume 1 print of each unless otherwise noted) _____________________________________________________
4x6 ------------------------------------ total qty. _____ x $3.00 = $________
Image Numbers (will assume 1 print of each unless otherwise noted) __________________________________________________________________________________________________________
Disc Without Headshot ----------- total qty. _____ x $10.00 = $________
Image Numbers (15 images) _________________________________ __________________________________________________________________________________________________________
With Headshot --------------------- total qty. _____ x $15.00 = $________ Name ________________________________________
Additional Images ---- total qty. ______ x $2.00/5 images = $________ Image Numbers (charged in groups of 5 images) ___________________ _____________________________________________________
_____________________________________________________
Subtotal ------------ $_________
Tax and Shipping Charge (see shipping info) ------------ $_________
TOTAL ------------ $_________
Make Checks Payable to : Jane Hiett
Send completed form and payment to:
Jane Hiett
692 W. Washington Ave.
Lake Bluff, IL 60044
Please allow 2-3 weeks for delivery
Send completed form and payment to:
Jane Hiett
692 W. Washington Ave.
Lake Bluff, IL 60044
Please allow 2-3 weeks for delivery