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Order Form

Please submit a SEPARATE FORM for each Collage Keepsake you are ordering.

Name of Collage
(i.e., Dan & Sue's Wedding, Smith Family Reunion, Kelly's 2nd Birthday, Jones Family Ancestors, Baby Joey's Birth, 2001 Smith Family Year-at-a-Glance, etc.)

Number of Photos being submitted (5-14):   
Type of Photos (or graphics) Supplied:    Digital  Photographs (and/or graphics)
(Note: An additional $5 scanning fee per photo will be added to the price of each collage ordered)
No Text on this collage

Include the following text in this Collage
(up to 4 lines of text - Maximum 40 characters)

Sample:
Kai Thomas Cubine
Born May 24th, 2002 at 2:58 pm
6 lbs, 13 ozs, 20.5 inches
John Muir Hospital, Walnut Creek, CA

Line 1

Line 2

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If you wish to order additional prints, place a check mark in the appropriate box and then choose how many prints you want to order from the drop down menu.

8 x 10" on Glossy Paper @ $10 each. How many?

8 x 10" on Canvas Photo Fabric @ $15 each. How many?

5 x 7" on Glossy Paper @ $10 each. How many?

Four 4 x 5" on Glossy Paper @ $10. How many sets of four?

Special Instructions or Comments, if any:

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