To purchase your negatives  we have contacted you about, please fill out the

information below and choose SUBMIT. 

You will need to fill this form out for EACH sitting.

Once this information is received, we will pull your negatives to hold until the date you provide below, or will mail them to you for an additional $7.00 shipping/handling charge.

Name

My phone number is

Date pictures taken

Order number is

Person who contacted me from Steven's Photography

(please choose one)

Choose One Debbie Jenn Terri

My email address is

I will pick up my negatives on

(MUST be picked up within one week of initial phone call)

 (after this date they may be destroyed and will no longer be available)

I would like my negatives mailed (for an additional $7.00 charge)

My mailing address is (if mailing negatives)

I will be paying by

Cash Check Visa Mastercard

My credit card number is

(no dashes or spaces please)

Expiration date on card is

The billing address on the card is

(including zip code)

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