ORDER FORM

Basic Package ‘All photos Team/Event/Gallery action slideshow on DVD’

To order please print this form. Fill in the shipping information and identification numbers of the photos you would like on the DVD as well as any ‘additional options.’

Name: __________________________________________ ____________

Address: ________________________________________ ________

City: ____________________________________ State: ________  Zip: _____________

Phone: (____) ______________________  Email: _______________________________

Event Date(s): ________________ Event/Gallery Name(s): _______________________

All photos of your Team/Event/Gallery on DVD: …….…… Price: _ $149.95

Additional Options:
Option #1 - Additional photos from other galleries:(Please include gallery name/date)

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(attach sheet for additional photos)

# of Additional Photos x $1.00 =

Option #2 – Captions
Match the image number to the caption below:

1: ________ 2: ________ 3: ________ 4: ________ 5: _______ 6: _________ 
7: ________ 8: ________ 9: ________ 10: ________ 11: _______12: _________ 
13: ________14: ________ 15: _________16: ______ 17: _______18: _________ 
19: ________20: ___ ___ _ 21: ______ _22: ________ 23:_______ 24: _________
25: ________26: _____ __ 27: ________ 28 _______ 29: _______ 30: _________

# of Captions ______x $2.00 =_______

Option #3 - Add your custom music here
Choose your own music for entire slideshow or customize each chapter with individual songs.

Please supply your own CD(s):

CD Title_________________________________ set as music for all photos or

CD title Song Title add to chapter
CD title Song Title add to chapter
CD title Song Title add to chapter

# of Songs x $5.00 =

Total: $ __________

Total Package $149.95
Total Option #1
Total Option #2
Total Option #3
Subtotal
Sales tax 0.00
(price includes tax)
Standard shipping
on entire order (USA) $5.50

Grand Total

Please make checks/MO payable to: Michael Janosz
7876 Shell Circle - Huntington Beach, CA 92648
For any questions regarding your order, please email:  info@janoszphotos.com
Thank You!