Senior Group Panoramic Photo Order Form First Name Last Name Address City State Zip Phone E-mail Order Prints Below (Type in Quantity below. Price listed is per print.)   Formal Informal Price (per) Framed Print $31.00 Laminated Print $21.00 Non-Laminated Print $16.00 Combo Special $35.00 Laminated Group & Keychain (select group pose) $26.00 5 x 2.5" Acrylic Keychain (Has both poses!!) $11.00 Giant 12x30 Lam. Poster $35.00 Add Postage & Handling $2.00 Payment Information Card Type -Select Card Type- Visa Mastercard American Express Discover Card Number Name on the Card     Expiration Date -Month- 1 2 3 4 5 6 7 8 9 10 11 12 -Year- 2007 2008 2009 2010 2011 2012     Billing Information (if different from above) First Name Last Name Address City State Zip