Picture Payment Form

Customer Information:

FLYER CODE: (Found in the lower right corner of your order form)
Subject’s First Name
Subject’s Last Name:
Parent’s Name:
Last Name: 

Phone: 
Email: 

Address Line 1: 
Address Line 2:

City: 
State: 

Zip:
Country: 



Choice the items you would like to purchase: (note not all choices available for every photo session)

Click choice:
Package A
Package B
Package C
Package D
Package E
Package F
Dance School ONLINE PROOF PROGRAM
Additional item letters not listed




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