Serge
Therrien
Photographe
1806 Chemin Oka, Deux-Montagnes,
Québec J7R 1N4 Tel: 450- 491-6560
Photo Order (one form per student)
Hello, my name is: _______________________________
I would like to have my picture taken and have paid for:
1 set of photos including: $20_______
1 - 8” X 10”
2 – 5” X 7”
8 – wallet size
1 – group photo
Grad package $23_______
With group photo of grads $30_______
1 – group photo 5” X 7” $7_______
1 – group photo 8” X 10” $10_______
This is my parent’s signature as authorization:
____________________________ ________________
Parent’s signature Date