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_______

 

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