2024 Jackson Elementary Fall Portrait Order Form

A $15 late fee will be added to each online order after the due date. (You may order for up to four children on one order. The late fee is not per child, but per order.)

Please DO NOT turn in a paper form if you are ordering online. Thank you.

A couple points:

We do not provide proofs! We will print the best image of your child and we do have a money back guarantee! Trust us. We've been making clients happy for years!

Retouch is a great option and it's only $3! We clean up skin, clothing, hair, teeth, etc! Consider adding it as you place your order!

Client Information (Order for up to four children on this form. Complete form again for additional students.)

Parent's First name

Parent's Last Name

Student's First Name

Student's Last Name

Grade, note am/pm/full day for Pre-K

Teacher*

Daytime phone (cell is best for texting)

Order a package and then any add-ons you want. Add ons are NOT available alone.

Pkg A-(1) 8x10; (4) 5x7; (2) 3.5 x 5; (16 wallets); (16 minis), (1) 4x5 magnet-$46.95

Pkg B-(1) 8x10; (2) 5x7; (2) 3.5 x 5; (8 wallets); (8 minis)-$36.95

Pkg C-(1) 8x10; (2) 5x7; (2) 3.5 x 5; (8 wallets)-$30.95

Pkg D-(2) 5x7; (8 wallets)-$22.95

Choose a package here

Pkg A + $46.95
Pkg B + $36.95
Pkg C + $30.95
Pkg D + $22.95

Include the following add-ons (if you desire more than quantity (1) of these add-ons, please contact photographer. 719-291-5545)

Do you have another student to order for?

Child 2

Child 2: First Name

Child 2: Last Name

Child 2: Grade

Child 2 Teacher*

Choose a package here

Child 2

Pkg A + $46.95
Pkg B + $36.95
Pkg C + $30.95
Pkg D + $22.95

Include the following add-ons (if you would like more than quantity one of any add-on, please contact us. 719-291-5545.

Do you have another student to order for?

Child 3

Child 3 : First Name

Child 3: Last Name

Child 3: Grade

Child 3 Teacher*

Choose a package here

Child 3

Pkg A + $46.95
Pkg B + $36.95
Pkg C + $30.95
Pkg D + $22.95

Include the following add-ons

Do you have another student to order for?

Child 4 (Note: If you need to order for more than four children, please submit an additional/separate order.)

Child 4 : First Name

Child 4: Last Name

Child 4: Grade

Child 4 Teacher*

Choose a package here

Child 4

Pkg A + $46.95
Pkg B + $36.95
Pkg C + $30.95
Pkg D + $22.95

Include the following add-ons

Thank you for your order! Photos will be delivered to your child's homeroom teacher within four weeks.

Billing Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Sub Total

$15.00

TOTAL

$15.00

Payment Method

Paypal
Credit Card (Visa,MC,Amex,Discover)

Credit Card Type

Select

Name on Card

Credit Card Number

Expiration Date

Month

Year

Verification Number

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