This form is mainly for reorders & late orders from this school year and previous school years. It is not intended for placing orders prior to your original picture day. Thank you!

Special Orders & Payments

You may use this form to place an order or a reorder for school pictures using a credit card. Price includes tax & shipping. A separate form must be used for each student. Siblings cannot be entered on one form. To submit a separate order click on "Submit Another Response" which will appear on the order confirmation page.

Name of School or Event *

School Year, don't see the one you want? Email us at fireflyimages@comcast.net *

Student First Name *

Student Last Name *

Grade *

Teacher's Last Name (LAST NAME ONLY) (For Elementary Students, if not, enter NA) *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Phone Number *

Email Address *

Shipping Address *

Address Line 2

City *

State *

Zip Code *

Contact Placing Order/Making Payment *

Packages

Please enter the quantity of each package you would like to order:
Do Not enter any characters (like a zero) in the boxes you don't intend to order.

	Package A - 2-8x10s, 4-5x7s, 2-3x5s, 4-Wallets of student's individual image $55.00
	Package B - 1-8x10s, 4-5x7s, 2-3x5s, 4-Wallets of student's individual image $50.00
	Package C - 4-5x7s, 2-3x5s, 4-Wallets of student's individual image $45.00
	Package D - 2-5x7s, 2-3x5s, 4-Wallets of student's individual image $35.00
	Package E - 1-5x7s, 2-3x5s, 4-Wallets of student's individual image $28.00
	Package F - 2-3x5s, 4-Wallets of student's individual image $20.00
	Package P - Purchase Digital Image of student's individual image (This will be emailed to the email address you provide) $25.00
	Retouch (Enter Quanity of 1 for the Entire Purchase) $14.00

Classroom Group Photos

Please enter the quantity of each package you would like to order:
PLEASE DON'T ORDER A GROUP PHOTO IF ONE WAS NOT TAKEN AT YOUR SCHOOL!
Some schools do their classroom group photos in the spring.
We will no longer offer a refund due to your mistake...make sure before you order!

Package O - 1-8x10 of your student's Classroom Group photo... $14.00 THIS IS AN ELEMENTARY SCHOOL PRODUCT ONLY

Add-On to Your Package or Build-Your-Own Package

Please enter the quantity of each Add-On you would like to order:
Do not enter any characters (like a zero) in the boxes you don't intend to order.

	Add-on J - 1-8x10 of student's individual image $14.00
	Add-on K - 2-5x7s of student's individual image $14.00
	Add-on KK - 1-5x7 of student's individual image $10.00
	Add-on L - 4-3x5s of student's individual image $14.00
	Add-on M - 8-Wallets of student's individual image $14.00
	Add-on N - 2-4x5 Magnets of student's individual image $18.00
	Add-on Y - 8 Mini-Wallets of student's individual image $14.00
	Add-on U - Add the Digital Image of student's individual image to any Package above (Image will be emailed to the email address you provide) $15.00
	Add-on ZZ- 10x13 print of student's individual image...$25.00

Special Order Section (Requires a code from Firefly Images)

Please enter the quantity of each Add-On you would like to order:

	Special Order BSD $655.99
	Special Order Yonker $28.00
	Special Order Wilson $40.00
	Special Order Tonga $25.00
	Special Order Christian $300
	Special Order Salgado $18.00
	Special Order Monkman $15.00
	Special Order Summers $15.00
	Special Order Bieber $18.00
	Special Order Ahmad $19.00
	Special Order Harrington $18.00
	Special Order Seaview Elem $600.00
	Special Order Kokanee Elem $420.00
	Special Order TFMS YRBK Shipping $8.95
	Special Order Townsend Graphics $16.00

Tell Us Which Picture Day:

Please answer the following question:
*

Which image would you like us to use?

Before you continue, please confirm your order information is correct, especially the first and last name of the student... Auto fill sometimes changes it!

Comment or Question?