LOADING...
Please wait.
Student Portrait Order
Queen City Photography
1525 Churchville Ave
Staunton VA 24401
Important: Enter a valid e-mail address. Receipts will be sent to this address.
E-Mail:*
School*
Choose a School
Wilson Memorial High School
Churchville Elementary
Stuarts Draft Elementary
Wilson Elementary
Wilson Middle School
Fort Defiance High School
Stuart Hall School
Student ID*
Student First Name*
M.I.
Last Name:*
Teacher Name:
Please remember this is a fundraiser for YOUR school Your purchase supports your school and a locally owned and operated small business. Thank you!
You will be prompted to choose a pose when quantity is entered. One pose per package.
IF ordering for a previous year`s photo, please notate under Special Instructions. All orders will be fulfilled with the FALL 2020-2021 school year photo if not specified. Elementary Schools: If the student has not had a Ruler Pose picture taken, then the yearbook pose will be used.
ONE POSE PER PACKAGE
Packages
Item Description - Item Price - Quantity - Total
Packages have a 3-4 week delivery time, and there are no additional shipping fees.
Add-ons may increase delivery time.
Package A: 2-8x10 4-5x7 6-3.5x5 16-Wallets
$60.00
Pose:
Fall - Yearbook (2020-2021)
Fall - Ruler (2020-2021)
Specially Priced Individual Sheets and Options for Package A
Three (3) - 4x6
$12.00
2-5x7
$12.00
8x10
$12.00
8 Wallets
$12.00
11x14
$50.00
Photo Touch-up (blemishes, scars, etc)
$8.00
Add Student`s Name & Current Year
$8.00
Package B: 1-8x10 4-5x7 6-3.5x5 12-wallets
$52.00
Pose:
Fall - Yearbook (2020-2021)
Fall - Ruler (2020-2021)
Specially Priced Individual Sheets and Options for Package B
Three (3) - 4x6
$12.00
2-5x7
$12.00
8x10
$12.00
8 Wallets
$12.00
11x14
$50.00
Photo Touch-up (blemishes, scars, etc)
$8.00
Add Student`s Name & Current Year
$8.00
Package C: 1-8x10, 2-5x7, 4-3.5x5, 12-wallets
$45.00
Pose:
Fall - Yearbook (2020-2021)
Fall - Ruler (2020-2021)
Specially Priced Individual Sheets and Options for Package C
Three (3) - 4x6
$12.00
2-5x7
$12.00
8x10
$12.00
8 Wallets
$12.00
11x14
$50.00
Photo Touch-up (blemishes, scars, etc)
$8.00
Add Student`s Name & Current Year
$8.00
Package D: 4-5x7, 3-3.5x5, 8-wallets
$35.00
Pose:
Fall - Yearbook (2020-2021)
Fall - Ruler (2020-2021)
Package E: 3-5x7, 2-3.5x5, 4-wallets
$25.00
Pose:
Fall - Yearbook (2020-2021)
Fall - Ruler (2020-2021)
Individual Sheets - No Package Purchase Necessary
Digital Image Only (Per Pose)
$35.00
Three (3) - 4x6
$25.00
2-5x7
$25.00
8x10
$25.00
8 Wallets
$25.00
11x14
$60.00
Sub-Total:
Discount Code
Products and Photo Options
 A $25 minimum package or sheet order (from above) is required to order additional photo products (below). If the minimum isn`t met, orders are automatically deleted and refunds issued. Please check the box to continue and accept ordering terms.
$25 Minimum Order Met
Digital Image Add-on to Package
$20.00
Dog Tag
$15.00
Mouse Pad
$20.00
Coffee Mug 11oz
$15.00
4 Wallets
$15.00
Magnet (3.5 x5)
$15.00
Photo Touch-up (blemishes, scars, etc)
$15.00
Add Student`s Name & Current Year
$15.00
Grand Total:
Special Instructions:
Name/Year on Photo (if selected above-additional fee)
Billing Information
Parent Name:*
Middle Initial:
Last Name:
*
Address Line 1:*
Address Line 2:
City:*
State:
*
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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:*
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:*
Please Select PayPal check-out to pay with your credit card
Create Your Own Form
using this Template
Want the ability to collect
information with an online form
that looks like this one?
Powered by
Elbowspace.com