Order Form Fall (2018-19)

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Student Name - Nobre de Estudiante

Last Name -Apellido

Grade - Grado

Teacher - Maesta(o)

Parent Email - correo electronico

Parent Name - Nombre de adulto

Parent Phone - Numero telefonico

SELECT YOUR PACKAGE - Seleccione Paqute(s)

Packages -Paquetes

All Packages are the best value and include name and year and a class photo (which will be delivered later). Comprando paquetes combine mas, incluyen las foto de salon y el nombre y año el las fotos.

Package #1 - Super Pack (Select 4 Backgrounds) + $75.00
Package #2 (Select 3 Backgrounds) + $55.00
Package #3 (Select 2 Backgrounds) + $45.00
Package #4 (Select 1 Backgrounds) + $30.00
Package #5 (Select 1 Backgrounds) + $25.00

BACKGROUND CHOICES

Pick your background(s) - Escoje su fondo(s)

Additional Items/Add ons

Paquetes adicionales

6 - Class Photo Only + $12.00
7 - (1) 8x10 + $10.00
8- (2) 5x7 + $10.00
9 - (16) Jumbo Wallets + $10.00
10 - (4) 3x5 + $10.00
11 - Retouch + $5.00
12 - Add Name & Year for items 7 - 10 + $5.00

Name for Photo - Nombre para photo:

Background Choices

Pick your background(s) - Escoje su fondo(s)

Special Items

Recuerditos Especials

13 - Magnets + $15.00
14 - 6x8 Photo Notebooks + $15.00
15 - Wacky Pack + $15.00
16 - 10x17 Calendar with Name* + $15.00
17 - 2 Dog Tags + $15.00
18 - Photo Coffee Mug + $15.00
Pick 3 COMBO Special + $35.00

Background Choices (Special Items)

Pick your background(s) - Escoje su fondo(s)

COMBO Pack Special $35.00 (3 Items from above 13-18) - ESPECIAL Odene 3 articulos 13-18 por $35.00:

Name for Photo - Nombre para photo:

Billing Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Sub Total

$0.00

TOTAL

$0.00

Payment Method

Credit Card

Credit Card Type

Select

Name on Card

Credit Card Number

Expiration Date

Month

Year

Verification Number

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