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Photo Order Form

Please complete the following mailing information.
Please select your choice of delivery.
Your Name:

Photos are copyrighted to the Pontiac Printshop Limited, Shawville, Quebec and may not be reproduced in any fashion without written authorization.

Street and Apt.:
Town/City:
Province:
Postal Code:
Telephone:
Please fill out the necessary information.

Prices each: Full colour
4" x 6" - $5.00
5" x 7" - $7.00

8" x 10" - $10.00
11" x 14" - $18.00
12" x 18" - $24.00

Photo number 1:
Size:

Print number:

OR date appeared
and page number:
Quantity:

Photo number 2:
Size:

Print number:

OR date appeared
and page number:
Quantity:
Photo number 3:
S
ize:

Print number:

OR date appeared
and page number:

Quantity:
Payment by Cheque or call 819-647-2204 to place with Visa or Mastercard.

Total amount:

$

Shipping and handling, $3.00 per order (if applicable):

$
Plus 5% GST:
$
Plus 7.5% PST:
$
TOTAL SUBMITTED:
$
Cheque:
Mail to: Pontiac Printshop Ltd., 133 Centre Street, Shawville, Quebec J0X 2Y0