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)

8x10 Canvas on Archival Board
(Suitable to be put in your own frame)

 

X

$49.60

 

         

11x14 Canvas on Archival Board
(Suitable to be put in your own frame)

 

X

$95.48

 

16x20 Canvas on Archival Board
(Suitable to be put in your own frame)
 

X

$145.40

 

 

 

 

Add amounts in column “B” and put total here:

(C)

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)

Subtract (E) from (C) (This is your sub total after your discount has been applied):

(F)

If you are ordering any of the following, insert the amount from box “G” into boxes marked “H”

 

 

Minor restoration. Ex.: Remove red eye, adjust colors, remove acne
(Please state on separate sheet what you'd like done). If over MINOR restoration, we will notify you of the additional cost.

$25.00     (G)

                        (H)

Change size of Photo

$12.50       (G)

(H)

Gift wrapped and sent to another address

$11.95      (G)

(H)

Convert color photo to Black and White

$18.95     (G)

(H)

Add a “Painted-Look” to your color photo

$95.00      (G)

(H)

Add amounts in “F” and “H’s”:

 

(J)

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)

Shipping and Handling:  ($17.50 FIRST canvas + $7.25 SECOND canvas. EACH  ADDITIONAL canvas AFTER '2' are $5.75 each).

            (L)

Add (J) and (K) and (L).  This will be the total to write your check out for:

 

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):______________________________________________