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Reprint Order Summary Worksheet

Use this form for all reprints except BG Sport Pix reprints.  To get more copies of your favorite memories, just print out and send in your completed order with a check to cover the cost.

 Event Name: ______________________________________
 Appointment Date: _________________________________
 Shipping Information:
  Name: ___________________________________________
  Street: ___________________________________________
  City: _____________________________________________
  State: ________________________ Zip: ________________
  Phone: ___________________________________________

Preview Number

8-Wallet
$12.00

4"x5"
$9.00

5"x5"
$9.00

5"x7"
$14.00

8"x10"
$20.00

11"x14"
$90.00

Recipient

               
               
               
               
               
               
               
               
               
               

Page Totals

$

$

$

$

$

$

$

Shipping included. NC Residents add 7¾% Sales Tax 

$

Order Total 

$

Mail completed order to:

Bill Gregory
400 Lyndenbury Drive
Apex, NC 27502