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Memory Lane Photo Services Photography Order Form
One form per photo order. Please complete and submit.

*indicates required fields 
  *Customer name:
  *Address:
  *City:
  *State:
  *Zip Code:
  *Phone number:
  E-mail:
  *Description/name of photo:
  *Size and type:
  *Quantity:
  *Subtotal:
  *Total (subtotal x 7% tax):

Upon submission of this form, you will be contacted within 1-2 business days with shipping cost to be added to your order total and to confirm your information. Once full payment is received your order will be shipped. Cash, check or money order only. Make checks payable to Michelle Wilson. Mail to: Memory Lane Photo Services, 41 Grand Street, Glens Falls, NY 12801
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