2024 CSCA All Class Portrait Order Form (K-7th Grades)

A $15 late fee will be added to online orders after March 31, 2024.

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*

Day time phone

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

5x7 Class Portrait with student names listed-$12

8x10 Class Portrait with student names listed-$16

Choose a package (or packages) here:

5x7 Class Portrait w names + $12.00
8x10 Class Portrait w names + $16.00

Include the following add-ons (if you desire more than quantity (1) of these add-ons, please contact photographer. 719-291-5545)

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 (or packages) here:

5x7 Class Portrait w names + $12.00
8x10 Class Portrait w names + $16.00

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 (or packages) here:

5x7 Class Portrait w names + $12.00
8x10 Class Portrait w names + $16.00

Include the following add-ons

Do you have another student to order for?

Child 4 (Note: 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 (or packages) here:

5x7 Class Portrait w names + $12.00
8x10 Class Portrait w names + $16.00

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

Select

State/Province

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Zip Code

Sub Total

$15.00

TOTAL

$15.00

Payment Method

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

Credit Card Type

Select

Name on Card

Credit Card Number

Expiration Date

Month

Year

Verification Number

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