2383 Merwin Drive

Carlsbad, CA 92008

760.438.0464

Thank you for your recent order. Mike Shriver Photography strives to produce the finest quality school portraits. If you would like to reorder pictures, please fill out this form and return it to our office at the address listed above. Do not submit orders to your school. All reorders will be mailed home. Please fill out all student information below. If you have any questions please call our office at the phone number listed above. Make checks payable to Mike Shriver Photography. Note: Returned checks will be electronically re-presented to your account along with the state allowable fee. Your use of check is acceptance of this policy.

Student Name:______School: ______Grade: __ Teacher: ______Address: ______Apt: ___ City: ______State: ___Zip: ______Phone #: ______Email Address: ______

Reorders: Please do not submit order to school. Use a separate form for each student. Exact color match may not be possible. Please allow 4-6 weeks for delivery. Complete all shipping information above.

Description / Price / Qty. / Total
A. 1 – 10x13 / $25.00 / $
B. 1 – 8x10 / $15.00 / $
C. 2 – 5x7 / $15.00 / $
D. 4 – 3x5 / $15.00 / $
E. 8 – 2x3 Wallets / $15.00 / $
F. 16 – 1x2 Mini Wallets / $15.00 / $
G. Includes B,C,E / $39.95 / $
H. 4 – Photo Magnets / $15.00 / $
I. 1 – Reflections Portrait / $15.00 / $
J. 1 – Group/class photograph / $15.00 / $
M. 1 – set of 6 Key Fobs / $15.00 / $
Negative Search & Preparation / $ 2.00
Postage & Handling / $ 3.50
Sales Tax (8.75%) only on pictures / $
Total Enclosed / $

Corrections: If you did not receive the package you ordered, or have a concern with your order, please complete the information below. Mail this form to the above address. Your package adjustment will be mailed to the address you provide above.

Ordered Package Letter: ______Received: ______I am missing: ______

Comments/Concerns: ______

Refund:If you are not satisfied with your photos, complete student information above. Cut or fold the portraits to fit any envelope and return the entire package to our office at the address above. A refund will be sent within 10 days.

Fall Retakes:If retake are offered at your school, you may have the picture retaken if a quality defect is present in the portrait. All students will be notified of the retake day. You may call our office for the date. If you are having a retake done, please return your package to the photographer on retake day. *If you received a class picture with your package, do not return it with the rest of the package. Pictures taken on ______applies to Fall Pictures only.

Original Day: Retake Day: