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* required
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| First Name: |
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| Last Name: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits)* |
| State: |
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| Daytime Phone: |
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| Evening Phone: |
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| Email: |
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| Pick up or Delivery: |
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Pick the photo gift you would like us to make for you below.
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| #1 Photo Gift: |
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| #1 Photo Gift Qty: |
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What media type are you sending us to make the above photo gift?
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| #1 Media Type: |
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| #1 File / Neg #: |
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Use the below boxes for multiple photo gift order. |
| #2 Photo Gift: |
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| #2 Photo Gift Qty: |
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What media type are you sending us to make the above photo gift? |
| #2 Media Type: |
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| #2 File / Neg #: |
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| #3 Photo Gift: |
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| #3 Photo Gift Qty: |
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What media type are you sending us to make the above photo gift? |
| #3 Media Type: |
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| #3 File / Neg #: |
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If you want to order more please file out another form.
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Shipping Details:
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All our photo gift are made in house and will be shipped back to you with in 1-2 days. Our standard shipping is USPS but if you need it faster we can ship it FedEx. |
| Shipping Choose: |
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| Payment: |
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| Credit card #: |
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Hand write your credit card number & date after you print this form.
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| Expiration date: |
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Expiration date
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| Signiture: |
X____________________________________________________
Signiture
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Mail To::
BisonPhoto.com
Attn: Photo Gifts
1220 Bison Ave Suite A-4
Newport Beach, CA 92660
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| A must do: |
Before you hit Submit, PRINT a copy of this page so you can pack it with your photos you either mail or bring in. Please read the below Limit of liability.
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Limit of Liability Submitting any tangible or electronics media, image, data, file, card, disc, device, film, print, slide or negative for any purpose, such as processing, printing, duplication, alteration, enlargement, storage, trans-mission, or other handling. Constitutes an AGREEMENT that any loss or damage to it by our company. Subsidiary or agents, even though by our negligence or other fault. Will only entitle you to replacement with an equivalent quantity/size of unexposed photographic film or electronic media, and processing of the replacement media. Except for such replacement, our acceptance of the media, data, file, card, disc, device, film, print, slide or negative is without other liability, and recovery for any incidental or consequential damages is excluded. No express or implied warranty is provided. By clicking submit you are agreeing with our limit of liability. |
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