Glamour Portrait Gift Order Form
Name:
Address:
City: Province:
Postal Code:
Phone Number:
Email:
Credit Card: Visa Mastercard American Express Expiry Date: January February March April May June July August September October November December 2002 2003 2004 2005 2006 2007 2008 2010
Which Package would you like?
Pak #1 $49.95 0 1 2 3 4 5 6 7 8 9 10 How Many?
Pak #2 $99.99 0 1 2 3 4 5 6 7 8 9 10 How Many?
Pak#3 $149.99 0 1 2 3 4 5 6 7 8 9 10 How Many?
Taxes and shipping will be added to your order and a receipt will be sent via email.
Thank you.