SHELLY DILLON Photography - Jundah
26 DICKSON STREET,
JUNDAH QLD 4736
Phone/Fax: 0746586207
Email: dillon10@bigpond.com PHOTO ORDER FORM.
Ordered prints will be cropped, adjusted for color and processed.
Name ___________________________________________________________________Print clearly
Address _________________________________________________________________________
Phone # __________________________________________ Email: ________________________
Circle Size Circle Size
|
Photo # |
Riders/bike # |
5x7 / 6x8
$15.00 |
8x10 / 8x12
$25.00 |
11x14
$45.00 |
Package # |
Photo # |
Rider/Bike # |
Size |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
|
|
|
|
|
|
|
Package
#1 (3- 5x7) $ 35.00 $_____
#2 (2- 5x7 & 1- 8x10) $ 45.00 $_____
#3 (2- 5x7 & 2- 8x10) $ 70.00 $_____
#4 (2- 5x7 & 1- 8x10 & 1- 11x14) $ 90.00 $_____
#5 High Resolution CD with all photo’s (up to two riders per CD) $150.00 $_____
PAYMENTS ACCEPTED VIA MONEY ORDER OR EFT:
EFT DETAILS:
BANK: SUNCORP
NAME: MICHELLE M DILLON
BSB: 484-799
ACCOUNT # 014016009
Sub Total $_____
Shipping $ 5.00
TOTAL ORDER $_______
* Packages may consist of different photo images. **Photos may be used for all uses except advertising.
RELEASE: Signature required with order
I understand that Shelly Dillon reserves all rights to use photographs for display, publication, website publication, or as stock images. I hereby give my permission to use these images in all forms and media for advertising, trade, and any other lawful purpose. I also understand that any duplication or publication in any form of these photographs requires written permission from the photographer, Shelly Dillon. Unauthorized uses will be deemed as copyright violations and are subject to penalty under the full extent of the law.
Signature:___________________________________
Date:_______________________________
10001000101010101010101011111111101010101100000010101010101010101010000011000000101010101010101010100000110011001111111111110000
|