YOUR CONTACT INFORMATION:

Name: _________________________________________________________________________

Address: _______________________________________________________________________

City: _______________________________ State: _________ Zip/Postal Code:_______________

E-Mail Address: _________________________________________________________________

Make your check/money order payable to Stephen C. Smith and mail to:

Stephen C. Smith
P.O. Box 1962
Cape Canaveral, FL 32920-1962

Photo ID Number

 Quantity

Line Total

Example:

 Wallet-
Size
# of sheets
(two/sheet)		 Wallet-
Size
Subtotal
(Qty x $1.00 ea)		 4x6
# of Photos		 4x6
Subtotal
(Qty x $1.00 ea)		 5x7
# of Photos		 5x7
Subtotal
(Qty x $1.50 ea)		 8x10
# of Photos		 8x10
Subtotal
(Qty x $3.00 ea)		 20x30
# of Photos		 20x30
Subtotal
(Qty x $15.00 ea)		 Add the Subtotal columns to the left and enter the line total in this column
010203_45 2 $2.00 4 $4.00 3 $4.50 5 $15.00 2 $30.00 $55.50

YOUR ORDER:
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
SUBTOTAL:  
ADD 6% SALES TAX (FLORIDA RESIDENTS ONLY)  
ADD SHIPPING ($5.00 for U.S./Canada; other countries, please e-mail home@futureangels.com for shipping cost)  
TOTAL