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Pet Portrait Order Form

First Name
Last Name
Address
City
State
Zip Code
Daytime Phone() -
Evening Phone() -
Cell Phone() -
E-mail Address
Name and breed of each pet to be portrayed in this portrait:
"Quick Pic" (looser, less detailed)?
SIZE
Custom size (please specify):
MEDIUM
FORMAT
BACKGROUND
Other background, such as a landscape (please specify):
Any other instructions for the portrait:
Anything you would like to add to help me understand the nature or character of your pet:
Ship to, if different from above, AND/OR additional shipping instructions:
Questions or comments:
How did you hear about me?
Would you like to receive occasional notices of holiday specials?
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