Refund Form
Please fill out this form, When you are done click submit to send it to our inbox. Go to the email you provided us with and print the form. Send the form to us with the picture package you are returning. Our address is:
C Kirk Photography
204 Washington Ave
Hillsdale NJ 07642
PLEASE NOTE: If you paid by credit card your account will be reimbursed
Email address *
Month & Year pictures were taken *
MM
/
DD
/
YYYY
Name of School, Organization Or Event: *
Your answer
(Teachers Name) (Coaches Name) Other: *
Your answer
(Grade) (Home Room) (Advisory) Other: *
Your answer
First name of person/child that was photographed: *
Your answer
last name of person/child that was photographed: *
Your answer
Parent or guardian's first & last name: (If applies) *
Your answer
Address: Street & house number: (This is where your refund will be sent) *
Your answer
Town/City: *
Your answer
State: *
Your answer
Zip code: *
Your answer
Phone number: *
Your answer
Package Number you ordered: *
Your answer
Amount you paid: *
Your answer
Payment Method You Used: *
Cash
Check
Money Order
Credit Card
Please select one
Reason for returning pictures: *
Your answer
Leave a message: (Optional)
Your answer
Thank you for filling out this form. Click submit and we will get back to you shortly
Call 201 666-5160  Email: colleen@njschoolpictures.com
A copy of your responses will be emailed to the address you provided.
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