PAT Studio Order Form

PAT Studio of Photography...500 Hershey Rd. Hummelstown, PA 17036
Photo Order Form
Please allow 3 to 5 weeks for delivery

NAME:

EVENT NAME:

MAILING
ADDRESS:

PHONE:

Image Number

Quantity

Size

Price

Total

4" x 6"

5" x 7"

8" x 10"

$15.00 ea

$19.00 ea

$22.00 ea

4" x 6"

5" x 7"

8" x 10"

$15.00 ea

$19.00 ea

$22.00 ea

4" x 6"

5" x 7"

8" x 10"

$15.00 ea

$19.00 ea

$22.00 ea

4" x 6"

5" x 7"

8" x 10"

$15.00 ea

$19.00 ea

$22.00 ea

4" x 6"

5" x 7"

8" x 10"

$15.00 ea

$19.00 ea

$22.00 ea

4" x 6"

5" x 7"

8" x 10"

$15.00 ea

$19.00 ea

$22.00 ea

4" x 6"

5" x 7"

8" x 10"

$15.00 ea

$19.00 ea

$22.00 ea

Shipping & handling:

$ 0.00 - 100.00: $ 8.00	$ 100.01 - 300.00: $ 10.00
$ 300.01 - 500.00: $ 15.00	over $ 500.00: $ 20.00

Subtotal:

6 % Pa sales tax:

Shipping & handling:

TOTAL: