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Portrait Order Form

Name:___________________________________ Phone#(____)______-___________ Address: ___________________________________ ___________________________________ __________________________________, _______ _________ City State Zip

Please mark one below: ___ I am ordering either Package 1 or Package 2 ___ I am ordering Enlargements only ___ I am ordering a Package plus additional enlargements

See Back of Proofs For Image Numbers Please complete an additional form for more images Image 1: Circle One:  ___________________________________ Color    B&W 11x14 _____ 8x10 _____ 5x7 _____ 4x6 _____ 3.5x5 _____ Wallets _____ Other _____ Special Instructions:_____________________________________________ Image 2: Circle One:  ___________________________________ Color    B&W 11x14 _____ 8x10 _____ 5x7 _____ 4x6 _____ 3.5x5 _____ Wallets _____ Other _____ Special Instructions:_____________________________________________ Image 3: Circle One:  ___________________________________ Color    B&W 11x14 _____ 8x10 _____ 5x7 _____ 4x6 _____ 3.5x5 _____ Wallets _____ Other _____ Special Instructions:_____________________________________________ Image 4: Circle One:  ___________________________________ Color    B&W 11x14 _____ 8x10 _____ 5x7 _____ 4x6 _____ 3.5x5 _____ Wallets _____ Other _____ Special Instructions:_____________________________________________ Image 5: Circle One:  ___________________________________ Color    B&W 11x14 _____ 8x10 _____ 5x7 _____ 4x6 _____ 3.5x5 _____ Wallets _____ Other _____ Special Instructions:_____________________________________________ Image 5: Circle One:  ___________________________________ Color    B&W 11x14 _____ 8x10 _____ 5x7 _____ 4x6 _____ 3.5x5 _____ Wallets _____ Other _____ Special Instructions:_____________________________________________ Image 6: Circle One:  ___________________________________ Color    B&W 11x14 _____ 8x10 _____ 5x7 _____ 4x6 _____ 3.5x5 _____ Wallets _____ Other _____ Special Instructions:_____________________________________________