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If you want photographs of more than one child, please fill out a form for each child.

PARENT DETAILS

Mr/Mrs
Address
  Post Code
Tel EMail

STUDENT DETAILS

Son's name Mobile
House Block Email

SITTING DETAILS (Please tick boxes below where appropriate)

Term LENT or SUMMER
Type of Sitting STANDARD STUDIO STANDARD OUTSIDE FULL SITTING
Extra Photos (Standard studio sitting only) 15 EXTRA PHOTOS (add £35.00)
Proofs to be displayed ONLINE CONTACT SHEET (add £17.50 for both)
Special Requirements (Change of clothes, Hair, Brothers etc)
I enclose Cheque Credit Card. Please make cheques payable to Richard Greenly Photography Ltd.
SIGNED Date

Payment Details Visa Master card Access Switch

Name Card No
Name on Card
Expiry date Start Date Security Code (3 digits by Signature)
Issue No (Switch only)
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If you want photographs of more than one child, please fill out a form for each child.

West House, Charnham Lane, Hungerford, Berkshire, RG17 0EY
Tel: 01488 685256 Fax: 01488 681101 Email: mail@richardgreenlyphoto.co.uk
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