New Page 1

Please provide the following product information:

	BILLING			SHIPPING (if different than billing)
Street Address			Street Address
Address (cont.)			Address (cont.)
City			City
State/Province			State/Province
Zip/Postal Code			Zip/Postal Code
Country			Country

This is an explanation of the purpose of the form ...

Please provide the following product information:

Product Name

Product 1 Product 2 Product 3 ... Product N

Please provide the following ordering information:

QTY	DESCRIPTION

	BILLING
Purchase Order #
Account Name

	BILLING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Choose one of the following options:

Photos/Slides Digital Photos

Special Instructions: