Cohen and Park Photography Order Form

mate plus
2 page
Image on cd
40
#
$
image on cd
#3 copyright release
$30
page mate plus
4
#
1) 8X10 2) 5X7’S 4) 3X5’S
8) Wallets 4) Magnets
pr
16
$
$55
o r d e r o nli
ne
page mate
1
#
e-
w w w . c o h e n a n d pa r k . c o m
12
$
11 4 magnets
#
mate plus
6 page
4) Magnets
mate plus
7 page
2) Magnets
$25
$29
#
#
mate plus
8 page
1) Magnet 4) Mini magnets
3X5’S
14 4)
8) waLLETS
$25 #15 16) wallets
dance class
9 5x7
picture
$10
#
#
#
P.O. BOX 2056
NEWPORT, OR 97365
3X5’S
17 2)
4) waLLETS
$16
#18 10x20 poster
10 2 magnets
#
12 24 magnets
mini magnets
$32 #13 1) 8X10
2) 5X7’S
mate plus
5 page
2) Magnets 4) Mini magnets
#
541-265-5419
800-307-7319
Click order now. Choose public gallery and find your event.
12
#
$
16 1)2) 5X7
3X5’S
$
#
$
#
22 8) wallets
16
$
#
21 4) 3X5’S
16
$
#
$
#
20 2) 5X7’S
16
$
#
$
20
$
19 1) 8X10
14
$
12
$
#
12
12
12
12
dance class $12
23 8x10
picture
PLEASE DETACH AND ENCLOSE INSIDE THE PAYMENT ENEVELOPE
EXP
CHILD’S
NAME
$
CARDHOLDER
NAME
CVV
SIGNATURE
MAILING
ADDRESS
POST DATE CARD?
PHONE
DD/MM
TOTAL AMOUNT DUE
this section must be completed on all orders
We are not responsible
for Misspelling from
Illegible Handwriting
dancer
first name
dancer
last name
For Photographer’s use
dance class name
Image #
instructor
parent
name
mailing
address
city
zip
pkg#
state
phone
email address
RECEIVE UPDATES
All dancers are photographed regardless of payment status. Orders will not be printed without payment
cash
check
debit/credit
Post Dated?
541-265-5419
[email protected]
P.O. box 2056 Newport, OR 97365
DD/MM
qty
price
$
$
$
$
total
enclosed
Did you pre pay online?
order #