The Photo Doc; 203 Gould St.; Beaver Dam, WI 53916 (920)-356-9709
Name: ________________________________________________________________________________
Address: ______________________________________________________________________________
Town/City-State-Zip Code: ______________________________________________________________
Telephone number: _____________________________________________________________________
Email address: _________________________________________________________________________
If this is a gift, address of recipient:
Name: ________________________________________________________________________________
Address: ______________________________________________________________________________
Town/City-State-Zip Code: ______________________________________________________________
Description of photo:
___________________________________________________________________
Size of photo: __________________________________________________________________________
|
Description of Product Ordered |
How many ordered (A) |
Multiply |
Price of each Item Ordered |
=Total (B) |
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8x10 Canvas on Archival Board |
|
X |
$49.60 |
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11x14 Canvas on Archival Board |
|
X |
$95.48 |
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16x20 Canvas on Archival Board (Suitable to be put in your own frame) |
X |
$145.40 |
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Add amounts in column B and put total here: |
(C) |
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Add up amount in column A and put in (D) then multiply (D) by $5.00: ((E) will be your discount). |
(D) |
X |
$5.00 = |
(E) |
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Subtract (E) from (C) (This is your sub total after your discount has been applied): |
(F) |
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If you are ordering any of the following, insert the amount from box G into boxes marked H |
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Minor restoration. Ex.: Remove red eye, adjust
colors, remove acne |
$25.00 (G) |
(H) |
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Change size of Photo |
$12.50 (G) |
(H) |
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Gift wrapped and sent to another address |
$11.95 (G) |
(H) |
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Convert color photo to Black and White |
$18.95 (G) |
(H) |
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Add a Painted-Look to your color photo |
$95.00 (G) |
(H) |
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Add amounts in F and Hs: |
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(J) |
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Wisconsin Residents multiply J by 5.5% and enter in K. This is Wisconsin state sales tax. (All other states put 0 in). |
(J) X 5.5% = |
(K) |
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Shipping and Handling: ($17.50 FIRST canvas + $7.25 SECOND canvas. EACH ADDITIONAL canvas AFTER '2' are $5.75 each). |
(L) |
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Add (J) and (K) and (L). This will be the total to write your check out for: |
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Please sign here stating you own the copyright to this photo. (We can not begin work until this is signed and payment has been received in full):______________________________________________