VIDEO PHOTO MONTAGE ORDER FORM
Print this page out and mail with your items.

Name:  __________________________________________________ Date: _______________
Address: ______________________________________________________________________
___________________________________________________ __________________________
Work #:______________________________     Home #: ______________________________

THREE EASY STEPS
Place your Photos in Order.
(Label or number the back of each photo)
Number Of Photos:________________

What is this montage for? (Ex. Wedding, Family Reunion, Valentine, Corporate, etc.)
_______________________________________________

Text To Display On Video (Beginning/Middle/End)(On Photo Or Black Screen)
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Write down the music in order.
                              Song 1Song 2Song 3
CD or Tape       ________               ________       ________
Record title:      ____________________________________________
Song:_______________   ________________________________
Song #:            ______________     ________________________________
Which photo should we start the song on ?
  Song 1Song 2Song 3
Photo #___________________________

Products

Products                                              Quantity                     Price                 Total
2D  PHOTO MONTAGE (FIRST 20 PHOTOS)Qty. ______ x$50.00 ________
3D  PHOTO MONTAGE (FIRST 20 PHOTOS)Qty. ______ x$70.00 ________
ADDITIONAL "2D" PHOTOS  Qty. ______ x$2.00   ________
ADDITIONAL "3D" PHOTOS  Qty. ______ x$3.00   ________

                                 Total    ________

Method of Payment                                                          
A.Credit Card        
(   ) VISA    (   )  MCTotal ______ x $ 3.75 Shipping and Handling

Credit Card Account Number                              Exp. Date (Mo./Yr.)Total
_____________________________________________________________________
Cardholder Signature:
________________________________

B.Check or Money Order

MAKE PAYABLE TO: CAPTURE IT GRAPHICS AND VIDEO

PLACE ALL ITEMS IN AN ENVELOPE AND MAIL TO:

Capture It Graphics and Video, Inc.      
            PO Box 989            
Ellenwood, GA  30294
Office 770-996-5323
Fax 678-817-3508
email captureit@mail.com

IT'S THAT SIMPLE.        
PLEASE ALLOW 2 WEEKS UPON RECIEPT OF MATERIAL.
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