2014— 2015 | K-11 Underclass Reorder Form Please fill out this form completely. Mail or fax this form to: Please fill out and return this form along with full payment, and one wallet sized photo for identification. This photo will be returned to you with your order. White’s Studios, Inc. 4924 Lankershim Blvd. North Hollywood, CA 91601 We accept checks, money orders and credit cards. Payment in full is required to start order. Allow 2-3 weeks for delivery. No substitutions on package configuration. Fax: 818-762-2870 Ship to: Name: School Name: Address: City,State,Zip: Email: Phone: Item Description Quantity Unit Price #1 8 - 2x3 full wallets $20 #2 2 - 5x7s $20 #3 1 - 8x10 $20 #4 16 mini wallets $20 #5 2 - 3x5s, 8 mini wallets $20 #6 1 - 5x7, 8 wallets $20 #7 1 - 8x10, 2 - 5x7s, 8 - 2x3 full wallets $40 #8 2 - 5x7s, 16 - 2x3 full wallets $40 #9 24 - 2x3 full wallets $40 #10 2 - 5x7s, 2 - 3x5s, 8 - 2x3 full wallets, 8 mini wallets $40 Payment Information: $ Name on Card: Expiration Date: ____/_________ Card Number: Visa (mm/yyyy) Mastercard Check or Money Order Billing Zip Code: $ Discover (Please make checks payable to White’s Studios, Inc.) I authorize White’s Studios to convert my check to an electronic fund transfer. All returned checks subject to a $25 fee. CVV: (3 digit number on back of card) Interal Use Only N O R T H H O L LY W O O D S T U D I O NORTHRIDGE STUDIO 4924 Lankershim Blvd. 8961 Reseda Blvd. North Hollywood, CA. 91601 Phone: 818.752.7780 Fax: 818.762.2870 Amount Northridge, CA. 91324 Order Completed: _____________ Phone: 818.727.2600 Fax: 818.280.2605 Ship Date: ______________ SUBTOTAL 9 % CA SALES TAX $ T O TA L D U E $ 4.00 SHIPPING & HANDLING $ G R A N D T O TA L
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