2023 CSCA Fall Portraits (K-8th grades)

A $15 late fee will be added to each online order after the due date.

Please DO NOT turn in a paper form if you are ordering online. Thank you.

Client Information

Parent's First name

Parent's Last Name

Student's First Name

Student's Last Name

Grade

Teacher*

Daytime Phone

Order a package and then any add-ons you want. Add ons are NOT available alone.

Pkg A-(1) 8x10; (4) 5x7; (2) 3.5 x 5; (16 wallets); (16 minis), (1) 4x5 magnet-$44.95

Pkg B-(1) 8x10; (2) 5x7; (2) 3.5 x 5; (8 wallets); (8 minis)-$34.95

Pkg C-(1) 8x10; (2) 5x7; (2) 3.5 x 5; (8 wallets)-$28.95

Pkg D-(2) 5x7; (8 wallets) -$20.95

Choose a package here

Pkg A + $44.95
Pkg B + $34.95
Pkg C + $28.95
Pkg D + $20.95

Include the following add-ons (if you desire more than quantity (1) of these add-ons, please contact photographer.)

Do you have another student to order for?

Child 2

Child 2: First Name

Child 2: Last Name

Child 2: Grade

Child 2 Teacher*

Choose a package here

Child 2

Pkg A + $44.95
Pkg B + $34.95
Pkg C + $28.95
Pkg D + $20.95

Include the following add-ons

Do you have another student to order for?

Child 3

Child 3 : First Name

Child 3: Last Name

Child 3: Grade

Child 3 Teacher*

Choose a package here

Child 3

Pkg A + $44.95
Pkg B + $34.95
Pkg C + $28.95
Pkg D + $20.95

Include the following add-ons

Do you have another student to order for?

Child 4 (If you need to order for more than four children, please submit an additional/separate order.)

Child 4 : First Name

Child 4: Last Name

Child 4: Grade

Child 4 Teacher*

Choose a package here

Child 4

Pkg A + $44.95
Pkg B + $34.95
Pkg C + $28.95
Pkg D + $20.95

Include the following add-ons

Thank you for your order! Portraits will be delivered to the school within one month.

Billing Address

Address Line 1

Address Line 2

City

Country

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State/Province

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Zip Code

Sub Total

$15.00

TOTAL

$15.00

Payment Method

Paypal
Credit Card (Visa,MC,Amex,Discover)

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Name on Card

Credit Card Number

Expiration Date

Month

Year

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