Brad Mischler Photography - Customer Order Form
www.bwmimages.com
brad@bwmimages.com


**** Buyer Info ****

Name           : 
Street Address : 
City           : 
State          : 
Zipcode        : 
Phone#         : 
Email Address  : 

Your personally-identifiable information
will not be sold or in any way provided
to other companies/entities.


**** Print Order Info ****

Print Name                      : 
Size (10x15,8x12,6x9,4x6,Other) : 

  10x15 : $60	
   8x12 : $40
    6x9 : $20
    4x6 :  $8

If a larger size is desired,
  state required length and
  you will be contacted for
  details : 

Type of Finish (Matte,Glossy)   : 
Matte (None,Single,Double)      : 
  None   :  $0
  Single : $15
  Double : $25

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Total Cost -------------------> :
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