Picture Order Page

First Name   

Last Name   

Middle         

Address       

Address 2    

City             

State            

Zip Code     

Phone Number  

Alternate Phone Number  

Email Address                  

Re-Order Pricing Per Unit Each:    8x10    $14.00

                                                (2) 5x7      $14.00

                                                (4) 3x5      $14.00          

                                           (8) Wallets      $14.00

ALL ORDERS WILL BE SHIPPED UPS WITH A $5.95 SHIPPING FEE ADDED. MINIMUM ORDER IS $20.00

NO SHIPPING COSTS IF PHOTOGRAPHS ARE PICKED UP AT OUR UNIONTOWN, PA LOCATION.

Please provide the following image information: Please use only one form per event!

Event Name
Image Number

                     8X10          - 1-$10.00 2-$20.00 3-$30.00                                    - 1-$10.00 2-$20.00 3-$30.00                                         - 1-$10.00 2-$20.00 3-$30.00

                      5X7           - 2-$10.00 4-$20.00 6-$30.00 8-$40.00                                    - 2-$10.00 4-$20.00 6-$30.00 8-$40.00                                         - 2-$10.00 4-$20.00 6-$30.00 8-$40.00

                      3X5           - 4-$10.00 8-$20.00 12-$30.00 16-$40.00                                  - 4-$10.00 8-$20.00 12-$30.00 16-$40.00                                       - 4-$10.00 8-$20.00 12-$30.00 16-$40.00

                    Wallets        - 8-$10.00 16-$20.00 24-$30.00 32-$40.00                                  - 8-$10.00 16-$20.00 24-$30.00 32-$40.00                                       - 8-$10.00 16-$20.00 24-$30.00 32-$40.00

Please provide your account information:

           Type Of Card  - Visa Mastercard Discover

Name On Credit Card
Card Number
Confirm Card Number

 Expiration Date   

Security Code (3 or 4 Digit Code on Rear of Card) Located in Signature box Area

Ship My Pictures _ Pick Up At Studio   Choose Shipping or Pick Up

By clicking the submit form button you agree to the terms of the credit card agreement.  Spellman Studio prosecutes fraudulent use of

credit cards to the fullest extent.  All information will be kept confidential.  Your IP address will be recorded for security.