Order Form

Name _________________________ Address ____________________________________

City ___________________________ State _______________ Zip

Home Phone ____________________ Work Phone ________________ Contact at work/home

Image Title	Photo size	Matt size	Do you want Framing	Price
Example “Iwo Jima at Night”	7x10	12x16	Yes	$100

Subtotal _______

Shipping: add 15% for shipping

Subtotal (with shipping) _______

Sales Tax (Virginia Residents Only) – add 5% ______

Total _______

***Have questions, specials needs or requests? Call or e-mail us (contact info below)***

Payment Info

___ Money Order * ___ Check * ___ MC ___ Visa ___ AMEX

Credit Card Number ___________________________ Expiration Date ___/___

Name (exactly as it appears on Credit Card) _____________________________

Signature (required for credit cards) __________________________________

· Please make checks or money orders payable to Paul and Partners, Inc.

·

Lovelypicture.com * 43670 Trade Center Place * Suite 150

Dulles, Virginia 20166

Phone: 703-996-0800 Fax: 703-996-0888

E-Mail: joebaca@lovelypicture.com