Amira Dance Productions Studio Show
Fill in this form. Place this form and a check for the total amount into an envelope. On the outside of the
envelope, write “Order Pictures” and your name. Give the envelope to your ADP dance instructor
You may pick up your photos from the ADP studio in about a week or two.
Your Name _________________________________ Phone _____________________
Address ________________________________
City/St /Zip ________________________________ ADP Instructor _____________________
Price per photo 4x6 $0.54 | Make check out to “dpi”
INCLUDES tax. 5x7 $0.95 | (
8x10 $4.24 |
11x14 $15.65 | Payment must be included
16x20 $22.52 | with order.
Poster 20x30 $41.73
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Photo Number |
Description (opt) |
Put Quantity in the desired Size Column |
Total Price with Tax |
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4x6 |
5x7 |
8x10 |
11x14 |
16x20 |
(see above) |
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Enclosed
Total Amount ____________________________