First Name: Last Name:
*Address:
*Address:
City: State: Zip:
E-mail: Phone:
* items cannot be delivered to PO boxes

Pay by: Check Money Order

Special Instructions:

Item # / Title	Style / Print Size	Frame	Mat

NOTE: dimensions are print size only, and do not include the size of the matting or frame.

CT Sales Tax: (Connecticut residents add 6%. No tax on shipping cost)

Shipping Cost Per Print (US, lower 48 states)
8X10-$10.00 each
11X14-$15.00 each
16X20-$20.00 each
Total Shipping Please read our returns and shipping policy

Order Total:

To Place an Order:

STEP 1: Print this form first for your records.

STEP 2: Send your advance order via email:

STEP 3: Make your Check or Money Order payable and send to:
Lisa Keller Photography, LLC
P.O. Box 469
Shelton, Connecticut, 06484