EQUUSMILE PHOTOGRAPHY,Inc. (801) 915-0360 • 507 5th Avenue •Salt Lake City, Utah • 84103• www.equusmile.com                                                    Order Form     20% DISCOUNT ON ORDERS OF $100.00 OR MORE Check or PayPal payment accepted.  Orders will be shipped after payment is received Name:        _______________________ Rider: __________________ Horse: ___________________ Address:        ___________________________City_________________State_______Zip_________ Phone:        __________________ Email:__________________________Event Date: ____________                                                                                                                                                                           Prices                                  8 Wallets of same picture (by mail only)                                       $20.00                 4 x 6                                                                                 $10.00             5 x 7                                                                                 $15.00             8 x 10                                                                               $23.00           11 x 14                                                                               $55.00           12 x 18                                                                               $65.00           16 x 20                                                                               $75.00 Digital manipulation: $20.00 per half hour Enhancement requested:  Please contact me for enhancements. EquuSmile Photography, Inc. images are protected by federal copyright laws. By your order you agree that    permission for any reproduction including scanning, emailing, etc. must be obtained from EquuSmile Photography, Inc.  Photo credit must appear with all reproduction, web, and publication uses.

Photo Number or Description	Qty	Size	Photo Price		Total

Subtotal
Shipping	$7.00
Total