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Senior Portraits Order form
Queen City Photography
1525 Churchville Ave
Staunton VA 24401
 
Senior information
Important: Enter a valid e-mail address. Receipts will be sent to this address. (do not use Student email)
E-Mail:*

School*

Student ID

Student First Name*

Last Name:*

 
Packages
 
Pose selection should be made from online gallery, NOT take home proofs.
Select Formal Pose

 
E-mail picture sizes for below packages to staff@qcpva.com or list in Special Instructions below.
1 Sheet equals 1-8x10 or 2-5x7 or 3-4x6 or 8-wallets. An 11x14 equals 3 sheets.
 
Item DescriptionItem PriceQuantityTotal
 
SPRING SPECIAL: One Pose Digital Image
March 15 - May 1. Perfect for adding to your graduation announcements. Enter your pose selection (only 1) under Special Instructions.
 
Important - there are no digital or add-on options available with the $95.00 package.
Formal Session: Prints Only (1 Pose - 4 Sheets: Choose your sizes)
 
Formal Session: 8 Sheets (Choose your sizes) or Digital Images (Prints - 1 pose, Digital - up to 3 poses)
 Digital Image and Print Add-On options will appear after choosing the $150 print package.
Add Digital Images to Your Print Package (up to 3 poses)
4 Sheet Add-On (1 Pose - may be different from package)
8 Sheet Add-On (Up to 2 poses - may be different from package)
 
 
 
 
Individual Prints - No Package Purchase Necessary
8x10
2-5x7
3-4x6
8-Wallets
Products
Bag Tag
Magnet (3.5 x5)
Keychain: Silver - 1"
Key Tags - Set of 3
 
Sub-Total:
Discount Code
Grand Total:
 
Special Instructions:

Billing Information
Parent Name:*

Middle Initial:

Last Name:*

Address Line 1:*

Address Line 2:

City:*

State:*

Zip Code:*

Phone:*

Same as SHIPPING information?
Yes No 

Shipping Information
First Name:*

Middle Initial:

Last Name:*

Address Line 1:*

Address Line 2:

Phone:

City:*

State:*

Zip Code:*

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