Photo Collection: Ordering Information
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www.Photo Collection.com

Please Print this Order Form

Name: (req'd) _________________________________________________
Address: (optional) _________________________________________________
_________________________________________________
Email: (req'd) _________________________________________________
Select one Package
      Package
    		 Photos / Duration
    		 Price
     
    		 Intro 3 photos / 3 months $24.95
     
    		 Small 6 photos / 3 months $37.50
     
    		 Regular 6 photos / 6 months $44.95
     
    		 Large 12 photos / 6 months $53.95
     
    		 Jumbo 12 photos / 12 months $59.50
     
    		 Album 24 photos / 12 months $99.95
Additional Package Options
    Option Qty Each Subtotal
    Additional photos     $4.95    
    Additional months   $3.50  
    Password protect N/A $4.95  
    Extend E-Mail notification   $0.75  
    E-Mail link on page N/A $1.00  
    Options Total  

    Package Total $_____________

    Package Total = Package Price selected + Options Total

    If Password Protect selected please supply password __________________________

    If Extend E-Mail notification, please supply email addresses (up to 10)

    ________________________________________________________________________
Occasion
(theme for web page):		 [  ] Baby[  ] Wedding
[  ] Pets[  ] Vacation
[  ] Holiday: specify
______________		[  ] Other: specify
_____________
Occasion Title
(ex. Christmas at Grandma's):		 _________________________________________________

List photos by the last name in our on-line directory?		 [  ] Yes    [  ] No

Please Mail:

  1. Completed order form.
  2. Photos with captions written on back.
  3. A check or money order payable to Dactyl Technologies, LLC.
  4. If you would like your pictures returned, please include a self-addressed stamped envelope.
  5. Send form to:
Photos are typically on-line within 2 days. You will be notified via email when the photos are available.



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