Verge Video Productions   6915 Thrasher Drive - Tampa, FL 33610

MJPAA -2008 Recital

 Live Performance Picture Order Form

Name ______________________

Address ______________________

______________________

Phone/email _____________________

Prices:

5 X 7= $7.50; 8X10 = $15.00;

Custom Editing = $15.00 additional

Photo             Qty.                Size                      Cost

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                              Please Add $5.00 s/h

Total: $ ______

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