subject_line
Welcome to the Pacific NW Band Festival
PrePay Site
for Group Pictures 2019
You may use this order form to purchase group photos using a credit card. You may have your image sent to your student's school or you may pay shipping charges and have it sent directly to you!
School:
*
Name of Musical Group:
*
Student First Name
*
Student Last Name
*
Grade
*
Parent First Name
*
Parent Last Name
*
Phone Number
*
Email Address
*
Packages
Please enter the quantity of each option you would like to order:
*
1 - 8x12 Group Photo, sent back to your student's school...$16.00
1 - 8x12 Group Photo, Packaged & Shipped directly to you. . . $20.00
Credit Card Information
Credit Card Type
*
Visa
MasterCard
Card Number
*
Exp Date (MM/YY):
*
CVV
*
Billing Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
If your mailing address is not the same as your billing address, please provide it here.
Firefly Images
206-790-3696
fireflyimages@comcast.net
FireflySchoolPhotos.com