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:
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COMMENTS
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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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© 2005 - 2012 Martin Chiu Studio All rights reserved.
Please note: A 50% deposit is required when you submit your order.