Vision Masters Order Portraits Form

Portrait Date:
Full Name:
Phone Number:
Email Address:
Address:
Adress 2:
City:
State:
Zip:

REPRINTS
8 Wallets ….............…$22.00
4x5……..................….$12.50
5X7……………..…... $17.50
8X10……………..…. $29.95
11X14………………. $69.95
16X20………………. $129.95
20X24…………….….$169.95
20X30………….…… $259.95
CD-Rom Slideshow......$125.00
DVD of Hi Res Images...$250.00
Coffee table proof books.....$155.00
Statue 8x10...................$65.00
Statue 5x7.......................$45.00

Call for Gallery Wraps or custom framing, Statues

 

<% Dim lngLine For lngLine = 1 To 60 %> <% Next %>
Proof #:
Size Quantity Sepia Hand Coloring Comments

Submit this form then proceed to payment. Be sure to remember the quantities and sizes. You will need to
enter them in the next form as well.