Printer Friendly Order Form
Print this page, complete the order form and
mail to address below with
NAME 
___________________________________________
ADDRESS____________________________________________
___________________________________________
CITY_________________________________________________
ST______________ZIP____________________
TEL ______ - ________ - _________
E-MAIL ADDRESS_____________________________
______________________________________________________________________________________________________
Select:
____Unframed Portrait 11"x`14" $250
____Matted & Framed Portrait 16"x20" $300 - choose frame style:
___Dark stain____Light stain____Med Stain____Gold
No shipping charges for ground shipping in contiguous states
$50 deposit due with initial order, balance due upon receipt of your portrait.
Enclose 2 to 3 crisp photographs of your home with deposit. Indicate any objects you
wish to remove from the picture (i.e. signs, telephone poles, etc.) Hint: photos taken with bright sunlight facing the front of the home make the best photos for your portrait.
_______________________________________________________________________
_______________________________________________________________________
Make check payable to and mail to:
30 FAIRVIEW AVENUE
LONG VALLEY, NJ 07853
e-mail: rdilzer@yahoo.com
Current turn around time: approximately 3-4 weeks
***all personal information is kept confidential***
