MARTIN CHIU STUDIO
ORDER FORM
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ORDER DATE: FIRST HEARD:
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YOUR NAME: PHONE:
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E-MAIL :
ADDRESS:
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NAME OF YOUR PET: TYPE/BREED:
MALE OR FEMALE AGE:
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PORTRAIT SIZE: PROMO CODE:
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COMMENTS
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Martin Chiu Studio Tel : (856) 986-1968 Fax: (856) 874-1296
74 Versailles Blvd.
Cherry Hill, NJ 08003 E-Mail: info@martinchiustudio.com
USA Website: www.martinchiustudio.com
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Photo Release:
I,_____________________, authorise to let Martin Chiu Studio use the submitted
photos for creating the portrait.
Your Signature:_________________________ Date:______________________
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Please send your photos by e-mail to Martin Chiu Studio.
Or by snail mail to the following address:
© 2005 - 2008 Martin Chiu Studio All rights reserved.
Please note: A minimum $50 deposit is required when you submit
your order.