Order Form

Image no. is located at the bottom of the photograph

Name:_____________________________________                                         

Address:___________________________________                                         

__________________________________________

__________________________________________

Picture prices:

4 x 6  $3.95   5 x 7  $10.00   8 x 10 $15.00     For larger print sizes please email me for prices and details  (Prices include state tax)

Event Name :____________________ Image  no. __________________   Size:______________Price:$ _____________

 Event Name :____________________ Page :__________  Photo no. __________________   Size:______________Price:$ _____________

Event Name :____________________ Page :__________  Photo no. __________________   Size:______________Price:$ _____________

Event Name :____________________ Page :__________  Photo no. __________________   Size:______________Price:$ _____________

Event Name :____________________ Page :__________  Photo no. __________________   Size:______________Price:$ _____________

Event Name :____________________ Page :__________  Photo no. __________________   Size:______________Price:$ _____________

Repost:   Event:________________________ Date of Event:___________________                                                               $ 10.00

    (10.00 fee is good for up to 3 events)                                                                                                                                                        

                                                                                                                                                              Total                         $______________

Please send payment of check or m.o to:

Chuck Welch Photography   34 Richardson Dr.     Phippsburg Maine    04562