Dear Customer:

Please select from the packages listed below. Fill out All the information requested on both the top and
bottom of this form and bring it with you on picture day.
We will issue the picture number when we take the photo. You can pay by cash, credit card or check made out
to Musical Images. All portraits will have a classic blue background.
PACKAGE A $60.00 1 8x12 Panoramic of Entire Band or Group
1 8x10 Individual Portrait
2 5x7 Portraits
4 3x5 Desk Size
8 2x3 Wallets
PACKAGE B $45.00 1 8x12 Panoramic of Entire Band or Group
1 8x10 Portrait
1 5x7 Portrait
2 3x5 Desk Size
PACKAGE C $22.00 1 8x12 Panoramic of Entire Band or Group

PACKAGE D $ 22.00 1 8X10 of individual or 2- 5X7, or 4-3X5, or 8-wallets
(specify)
Picture Number__________________ Date________________________________________________________
Package Number _________________ School______________________________________________________
Total___________________________ Name_______________________________________________________
Address_____________________________________________________
City ___________________________________State ______Zip______

Phone______________________________e-mail_______________________________________________________
Musical Images is generously donatin 20% of all orders to DSOMA




P.O. Box 1151 Citrus Heights, CA 95611-1151
Phone: 916-729-9110
www.musicalimagesphotos.com
Pictures Order Form
March
15
2
0
1
4
THE BODIL WENNBERG CONCERT
R
E
C
E
I
P
T