Simone Gremillion

(504)610-0787

www.reflectionsphotographynola.shutterfly.com

reflectionsphotographynola@yahoo.com

Classical Conversations Student Picture Order Form

Individual Pictures:

$15   1- 8x10, 2– 5x7’s, 4– wallets (package A)

$25   1– 8x10, 4– 5x7’s, 8– wallets (package B)

Class Pictures:

$5   1- 8x10 (package C)

Student Name/Teacher’s Name        Package        Qty        Price                       Subtotal

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Total        ______

Name___________________________                        Cash    

Address_________________________                        Check

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Phone__________________________

Signature___________________________________________________