cPm Photography Order Request Form Signature

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cPm Photography Order Request Form Signature Powered By Docstoc
					                                                                                      cPm Photography
                                                                                    Order Request Form
Please fill out form completely. Missing information will delay order.

Shipping Information:

Name: ________________________

Address: _____________________________________

City: ______________________                          State: _____ ZIP: ________

Phone: (          )_______________

E-Mail: ______________________@______________________

*All shipping information must be filled out for order to be processed. You will be notified by email once your order has been
received and processed.


Order Information:

Picture ID:             ___________________                      Qty: ______         4X6           8X10          Framed:

                        ___________________                      Qty: ______         4X6           8X10          Framed:

                        ___________________                      Qty: ______         4X6           8X10          Framed:

                        ___________________                      Qty: ______         4X6           8X10          Framed:

                        ___________________                      Qty: ______         4X6           8X10          Framed:


Pricing Information:                                             Customize:

                        4X6                     8X10*            Framing Style: Modern   Country
Print Only              $15                     $25              Antique:     Metal:   Any
Matted                  $25                     $35
Framed                  $100                    $125             Matting: Single            Double
*Larger sizes available upon request for certain prints.
**Shipping costs included for continental U.S.




Signature: _________________________________
            Please allow 2-3 weeks for processing and shipping.


                                              Send Check or Money Order to:
                                                      Chris Magro
                                                         cPm Photography
                                                   2900 Gleneagles Blvd. Suite C
                                                       Valparaiso, IN 46383