FZR Photography
Event Photograph Purchase Order

 Please provide the following contact information:
         First Name: ___________________________
          Last Name: ___________________________
     Street Address: ___________________________
    Address (Cont.): ___________________________
               City: ____________________
              State: _____________
           Zip Code: _____________
         Home Phone: _____________
             E-Mail: ___________________________

 Shipping address if different than above:
     Street Address: ___________________________
    Address (Cont.): ___________________________
               City: ____________________
              State: _____________
           Zip Code: _____________

 Photo Prints: (4x6 $5ea · 5x7 $7ea · 8x10 $10ea · 8.5x11 $12ea · 11x17 $30ea · 13x19 $45ea)

 Digital Image Files: (800px wide "jpg" $5ea · 2000px wide "jpg" $25ea · 4200px "TIFF" $95ea)

   Qty    Photo Name/Number        Size       Amount
  1.  ___    ___________________________    ________________    __________
  2   ___    ___________________________    ________________    __________
  3   ___    ___________________________    ________________    __________
  4   ___    ___________________________    ________________    __________
  5   ___    ___________________________    ________________    __________
  6   ___    ___________________________    ________________    __________
  7   ___    ___________________________    ________________    __________
  8   ___    ___________________________    ________________    __________
  9   ___    ___________________________    ________________    __________
 10. ___    ___________________________    ________________    __________
                                                                                   Sub Total:   __________
                                                                                       Tax 7.8%:   __________ (If you live in Washington)
                                                                                             Total:   __________

Make Check or Money Order payable to: FZR Photography -or- Shawn Smoak

Send to:

Shawn Smoak
Toledo, WA. 98591