FZR Photography
Photograph Purchase Order
Please
provide the following contact information:
First Name: ___________________________
Last Name: ___________________________
Street Address: ___________________________
Address (Cont.): ___________________________
City: ____________________
State: _____________
Zip Code: _____________
Home Phone: _____________
E-Mail: ___________________________
Shipping
address if different than above:
Street
Address: ___________________________
Address (Cont.): ___________________________
City: ____________________
State: _____________
Zip Code: _____________
Photo
Prints: (5x7 $25ea ·
8x10 $55ea · 8.5x11 $65ea · 8x12 $70ea · 11x17 $135ea · 13x19
$195ea)
Digital
Image Files: (4200px
x 2800px "TIFF" $295ea)
Qty Photo
Name/Number Size Amount
1. ___ ___________________________
________________ __________
2 ___ ___________________________
________________ __________
3 ___ ___________________________
________________ __________
4 ___ ___________________________
________________ __________
5 ___ ___________________________
________________ __________
6 ___ ___________________________
________________ __________
7 ___ ___________________________
________________ __________
8 ___ ___________________________
________________ __________
9 ___ ___________________________
________________ __________
10. ___ ___________________________
________________ __________
Sub Total: __________
Tax 7.8%: __________ (If you live in
Washington)
Total: __________
Make Check or Money Order payable to: FZR Photography -or- Shawn
Smoak
Send to:
Shawn Smoak
Toledo, WA. 98591