Photo Order Form

Thompson Photographic Studios

5800 W. Fernley Drive #24
West Palm Beach, Florida 33415

      561-839-3938-Office                                                                      

Please fill out the WHITE BOXES, print this form and either FAX or mail it to the above address with your payment.
Thank you


FIRST NAME:    LAST NAME:  

ADDRESS:        

CITY:                 STATE:     ZIP:  

EMAIL:             

PHONE:          

 
 
COMMENTS:                                    
 
 
 

PLEASE SELECT THE METHOD OF PAYMENT

Certified Check Money Order Personal Check
Discover MasterCard VISA
 
Account #______________________________|Exp Date________________
 
Signature_________________________________________________________

 

Photo No.

Quantity

Size

Price

    Amount

4 x 6 -   $   4.00          11 x 14 -   $30.00
5 x 7 -   $   8.00          16 x 20 -   $50.00
8 x 10 - $ 16.00          20 x 30 -   $65.00
WALLETS - 2 for $3.00
SUBTOTAL
SALES TAX 6%
TOTAL DUE

 

 

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