MJPAA Photo Order Form

Mail Payment to: Verge Video Productions 6915 Thrasher Drive - Tampa, FL 33610

Mary Jo's Performing Arts Academy

How To Eat Like A Child

Photo Order Form

Name ______________________

Address ______________________

______________________

Phone/email _____________________

Prices:

5 X 7= $5.00; 8X10 = $10.00;

Custom Editing = $15.00 additional

Photo Qty. Size Cost

___________________________________________________________

Please Add $5.00 s/h or check here to pick-up at MJPAA_____

Total: $ ______

Make checks payable to: Verge Video Productions. Allow 4 - 6 weeks for delivery.