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

Questions or need a quote?

Call Dave:
248-709-3874

Email Dave:
dbolda1@sbcglobal.net