REORDER FORM
Please type in the following information then PRINT this form and mail to:
If you are missing photos, click Adjustment Form.
Barksdale School Portraits
Attn.: Reorder Dept.
368 Turner Industrial Way
Aston, PA 19014
Student Information:
First Name:
Last Name:
School Name:
Teacher's Name
School Address:
City:
State:
 Zip:
Grade:
Shipping Information:    
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Reorder Information:
Printer ID # Your Image ID number is located on the revise side of your print.
Sample: 5039_20 IMG_8560
Set(s)
4 - 3 x 4 Oval Magnets
$20.00
Set(s)
1 - 10 x 13
$25.00
Set(s)
1 - 8 x 10
$15.00
Set(s)
2 - 5 x 7
$15.00
Set(s)
4 - 3 ½ x 5
$15.00
Set(s)
8 - 2 ½ x 3 ½ (large wallet)
$15.00
Set(s)
16 - 1 ¾ x 2 ½ (small wallet)
$15.00
 
Postage/Handling for this order
 $
Payment Method:
Total
 $
Card Number:
Expiration Date:
Signature:
 ____________________________
Name as it appears on card: