Lisa Vanlenthe 313 Sitch Road, Kakabeka Falls, ON P0T 1W0 (807) 577-2319 cell(807) 621-7384 countrifiedphotography@tbaytel.net www.countrifiedphotography.

com

SIZE

TOTAL

4x6 Print 5x7 Print 8x10 Print Digital Image on CD (up to 2 images -4x6) ~ each additional pic on CD
*additional sizes and options may be available

$5.00 $15.00 $20.00 $20.00 $5.00

DATE & EVENT

PHOTO #

4X6

5X7

8X10

CD

T0TAL

Sub Total Please include full payment with your order S&H (confirm amount) and make cheques payable to: Lisa Vanlenthe TOTAL Name:________________________ Telephone #:______________ Address:______________________ City:_____________________ Province:________ Country:__________ Postal Code:__________ Email Address:_______________________________________________
All images are of Lisa Vanlenthe. All rights reserved. It is an infringement of Federal Copyright laws to reproduce images. Photos may not be duplicated, published or scanned without purchase of usage rights and written authorization from Lisa Vanlenthe. Photos are not for commercial use including posting on the web, promotional/sale flyers, etc. If you require these rights, please contact Lisa Vanlenthe for licensing information. I,________________________ acknowledge the terms of use and understand Lisa Vanlenthe retains ownership/copyright of all images Signature:_______________________________________ (legal guardian if client is under 18 years of age)

Thank You for your order!~Orders must be paid in full before they will be shipped. delivered.

Please allow 14 days for your order to be