MAIL TO: Photography by Spence
P.O. Box 26641 · Jacksonville, FL 32226-6641 ·   (904) 619-0903
PLEASE PRINT LEGIBLY

Name
Address
Apt/Unit/Lot #
City, State, ZIP
Email
Phone
Event	Event Date

Image #	Size/Package	Price	Quantity	Total
				$
				$
				$
				$
				$
				$
Subtotal				$
Sales Tax (Florida Residents)				$
Shipping				$
Total				$

ORDER SUBTOTAL	SHIPPING
Up to $20.00	$6.00
$20.01 to $50.00	$7.00
$50.01 to $75.00	$8.00
$75.01 to $100.00	$9.00
Over $100.00	$12.00