Photo Order Form
Thankyou for taking the time to purchase a print of one of our photos.
Please fill out the form below to complete your order. We will get back to you within 48hrs with further instructions.
**Please note that all fields are Mandatory!
Personal Details
Name:
(Full name)
Address:
(Postal Address)
City:
State:
Postcode:
Phone:
(Please Include Area Codes)
E-mail:
(You must include an e-mail address)
Photo Details
Photo 1 ID:
Quantity:
Size:
12" x 8"
6" x 4"
Photo 2 ID:
Quantity:
Size:
12" x 8"
6" x 4"
Photo 3 ID:
Quantity:
Size:
12" x 8"
6" x 4"
Photo 4 ID:
Quantity:
Size:
12" x 8"
6" x 4"
Photo 5 ID:
Quantity:
Size:
12" x 8"
6" x 4"
Payment Details
Form of Payment:
Cheque
Western Union
Declaration
I have read and agree to the
Terms and Conditions
.
Thankyou
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Simon Coates, all rights reserved.
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