2016 Order Form Order Form 1 Client Information2 Print Order Fulfillment3 Returning Client Discount Order Balances In this form you will find the opportunity to purchase standard prints and/or canvas prints. Please make sure you select the appropriate print credit if it applies to your session. If you need additional products or sizes please contact Amy directly. Payment options are cash, check to Amy Lee Photo or credit card by use of PayPal online. All physical print purchases (including the use of any credit issued to you) will be charged an additional sales tax and shipping fees. Orders will be shipped directly to the address recorded on this form. Payment must be paid in full before your order will be processed. Thank you again for allowing me to document this time in your life and please feel free to contact me if you have any questions while proofing or ordering. I would be happy to help you through the process!Date (mm/dd/yyyy) Name* First Last Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Print Image Ordering (Scroll down if you want canvas purchase options)You can mix and match standard print sizes as you please to hit the print credit balance you have or add on any a la cart prints to your order. Only standard print sizes up to 16x20 in size can be applied towards your print order credit. Canvas prints are not available for to apply your standard print credit towards. There will be an additional area if you'd like to purchase canvas prints. All larger prints, non-standard print sizes can be requested and/or canvas options are available below and will be charged additionally. Leave any fields blank below that you don't need to fulfill your order and continue to the next page.Print Order TotalFile Name (i.e. Lee_01)Size 1Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 1File Name 2Size 2Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)QuantityFile Name 3Size 3Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 3File Name 4Size 4Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)QuantityFile Name 5Size 5Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 5File Name 6Size 6Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 6File Name 7Size 7Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 7File Name 8Size 8Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 8File Name 9Size 9Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 9File Name 10Size 10Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 10File Name 11Size 11Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 11File Name 12Size 12Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 12File Name 13Size 13Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 13File Name 14Size 14Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 14File Name 15Size 15Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 15File Name 16Size 16Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 16File Name 17Size 17Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 17File Name 18Size 18Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 18File Name 19Size 19Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 19File Name 20Size 20Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 20File Name 21Size 21Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 21File Name 22Size 22Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 22File Name 23Size 23Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 23File Name 24Size 24Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 24File Name 25Size 25Select1 Sheet of 8 diecut Wallets ($19)4x6 ($12)5x7 ($15)8x10 ($20)10x13 ($26)11x14 ($30)16x20 ($62)Quantity 25Standard Print Order TotalWrapped Canvas OptionsCanvas purchases will incur a 1x additional $15 shipping costs (no matter how many canvases you buy) and additional taxes per piece will apply. All gallery canvas prints have a fully finished backing with hanging sawtooth hardware. Additional sizes available upon request, please contact Amy for pricing quotes.Canvas File Name 1 (i.e. Lee_01)Wrapped Canvas Size 1SelectCanvas 8x10 ($80)Canvas 11x14 ($110)Canvas 16x20 ($150)Quantity 1Canvas File Name 2Wrapped Canvas Size 2SelectCanvas 8x10 ($80)Canvas 11x14 ($110)Canvas 16x20 ($150)Quantity 2Canvas File Name 3Wrapped Canvas Size 3SelectCanvas 8x10 ($80)Canvas 11x14 ($110)Canvas 16x20 ($150)Quantity 3Canvas Total Break Down of ExpensesStandard Print Order TotalStandard Print Order Total with discount appliedReturning Client and Yearly Program Print Credit*To reward returning standard session clients and yearly NB-1 year clients, their sessions receive a standard print discount. Only the gallery owners are eligible for this discount, mini-sessions are not eligible at this time for this credit, and credit is applied to STANDARD prints only, not canvas prints. Any credit used is subject to additional standard shipping fees. Any unused credit will not roll over to a later session, will not be refunded, and will not apply towards any sales tax or shipping fees. You as the client are responsible for any additional fees that may apply towards any print purchases decided upon. Credit will be deducted from your standard print order total below.No, this is my first session with Amy Lee Photo, my session type was a mini-session, OR I am not the gallery owners which makes me ineligible for print credits.Yes, I am a repeat client having paid for a FULL standard child/family session or newborn session previously, and would like to use my $75 credit.Yes, I am enrolled in the Watch Me Grow Program and would like to use my $50 credit per session.Returning Client and Yearly Program Print Credit*To reward returning standard session clients and yearly NB-1 year clients, their sessions receive a standard print discount. Only the gallery owners are eligible for this discount, mini-sessions are not eligible at this time for this credit, and credit is applied to STANDARD prints only, not canvas prints. Any credit used is subject to additional standard shipping fees. Any unused credit will not roll over to a later session, will not be refunded, and will not apply towards any sales tax or shipping fees. You as the client are responsible for any additional fees that may apply towards any print purchases decided upon. Credit will be deducted from your standard print order total below.No, this is my first session with Amy Lee Photo, my session type was a new 2016 mini-session, OR I am not the gallery owners which makes me ineligible for print credits.Yes, I am a repeat client and would like to use my $75 credit.Yes, I am enrolled in the Watch Me Grow Program and would like to use my $50 credit per session.Standard Print Order SubtotalStandard Print Order SubtotalBecause your print credit wasn't fully used towards your order, you lose that remaining credit and it will not be refunded, applied towards tax/shipping, nor credited to a future order. You may revisit your order and add additional items if you like or continue to payment.Standard Print Taxable SalesStandard Print Taxable SalesSales Tax (7.850%)Canvas Order SubtotalCanvas Sales Tax (7.850%)Zero out with credit paymentStandard ShippingStandard shipping on any order is $7. Any non-standard print sizes or larger print/canvas prints may be subject to additional shipping fees. Canvas shipping will be an additional $20 fee. An additional large quantity of a la cart pieces may incur additional shipping fees as well. You will be notified directly if additional payment is needed or contact Amy with any questions before ordering.)Canvas ShippingCanvas Shipping ONLYAll canvas only orders (no standard print purchases) have a 1x $20 shipping fee.GRAND TOTAL(All credits, taxes, shipping fees, and additional purchases have all been applied and reflected below.)PaymentPayment Method*Payment options are cash, check to Amy Lee Photo or credit card by use of PayPal online. Upon submission of your order you will receive instruction as to finalizing your payment. Payment must be paid IN FULL before your order will be processed.CashCheckPayPalPayPal Email Address?*Same As Previously InputDifferentPayPal Email Address (if different) Signature*By signing below, I agree that I have filled out the form to the best of my abilities and agree to make any payment balances in full. (It doesn't have to be pretty, just do your best with your mouse!)