G & A Professional Photo Lab
1310 NE 123 Street Miami, Florida 33161
Fax: 305-893-2899
 Phone: 305-893-3500		 Hi-Q Photo Lab
850 Ives Dairy Road Miami, Florida 33179
Fax: 305-653-9907
 Phone: 305-653-1011
 
 
   
   
CUSTOMER NAME:
ADDRESS:
CITY:
   STATE:    ZIP:
PHONE:
  ALT PHONE
EMAIL:
   
PHOTO SIZE:
BORDER:
NAME ON PHOTOGRAPH:
IMAGEN
  
FONT:
STYLE:
Helvetica Bold   Times New Roman Avant Garde
Helvetica Bold Italic Times New Roman Italic Avant Garde Italic
   
PRINT SURFACE: 
COLOR:
QUANTITY:
 
Black and White Color
50 62.50 72.50
100 109.00 119.00
200 144.00 154.00
250 164.00 174.00
350 204.00 214.00
500 285.00 295.00
IMAGE HANDLING:
   
   
CREDIT CARD BILLING:
 
   
Card Type:
Name on Card:
Card Number: 
Expiration Date:
 (ex. 12/2006)
  *you may also email or phone in your CC information
   
DELIVERY OPTIONS:
Check here if your shipping address is different than above.  (input new address into comment box)
   
 
COMMENTS and/or QUESTIONS:
 
This is a Rush Order.  Please contact me as soon as possible.