Name:_________________________________________
Address: _______________________________________
City: _____________________ State: _____ Zip: _______
Home phone: ______________ Alt Phone: _____________
Artist Instructions:
Subject Photo #1
Copies Desired: *please check desired amounts
Special Instructions- (please be specific)
______________________________________________
______________________________________________
Subject Photo #2
Copies Desired: *please check one
Special Instructions- (please be specific)
_____________________________________________
_____________________________________________
Subject Photo #3
Copies Desired: *please check one
Special Instructions- (please be specific)
_____________________________________________
_____________________________________________
Silhouette Order Form
Silhouette Subtotal: $______
Shipping/Handling: $3.00
Total Order: $______
*Bridal silhouettes vary depending on the detail of the veil.
Please send photos and check or money order to:
Dave Emerson
5733 Main St. Unit 6
Lexington, MI 48450
Call Dave:
248-709-3874
Email Dave:
dbolda1@sbcglobal.net