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 picture day, please use the paper form or wait to receive a link from your school. Thank you!

You will receive a link from your school on or shortly after picture day! Please use that link to order this year's pictures if you haven't already done so. In an effort to keep picture prices affordable, we use the paper order form first as it is much less expensive when compared to online ordering with credit card processing fees. Thank you!

Name of School or Event *

Enter Code if given one (this is rare) If not, leave blank

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 *

Please enter the quantity of each package you would like to order:

	Package A - 2-8x10s, 4-5x7s, 2-3x5s, 4-Wallets of student's individual image $52.00
	Package B - 1-8x10s, 4-5x7s, 2-3x5s, 4-Wallets of student's individual image $47.00
	Package C - 4-5x7s, 2-3x5s, 4-Wallets of student's individual image $40.00
	Package D - 2-5x7s, 2-3x5s, 4-Wallets of student's individual image $32.00
	Package E - 1-5x7s, 2-3x5s, 4-Wallets of student's individual image $26.00
	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

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!

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

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

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

Please answer the following question:
*

Which image would you like us to use?

Comment or Question?