Portrait Order Form  _______________________

                                                (subject)

Name --------------------------------------------------- date -----------

Address ---------------------------------------------------

City, State --------------------------- Zip Code ----------

Telephone --------------------------------

(4) 4 x 6    (2) 5x7    (1) 8x10       11 x 14      (16)wallets    Order Number   Description

  ------       ------        ------         ------          ------           ----------         --------------------------

  ------       ------        ------         ------         ------            ----------         --------------------------

  ------       ------        ------         ------         ------            ----------         --------------------------

 --------       -------        -------         -------        Totals

Each unit (4 - 4x 6), (2 - 5 x7), (1 - 8 x 10), or (16 - wallets) is $25.00. 11 x14s are 50.00.  If needed, facial retouching is typically 12.00 per image.   Wallet special - 48 wallets for 39.00 ( all of one pose)