E-mail Credit Card Order Form / Gray Photography

Use this form to order gallery prints by e-mail.
Edit this form in your word processor and e-mail form as xxxxx.txt
 or Microsoft Word.doc attachment to: gary@grayphotoonline.com

Order Information				DATE: _____/_____/_____

1st Name _____________________________ Last Name ___________________________

Email Address: ______________________________________________________________ 

2nd Email as backup: _________________________________________________________

Home Phone: _______________________________________________________________

Daytime Phone: _____________________________________________________________

Credit Card Billing Address:

Name on Credit Card: _________________________________________________________

Street: ______________________________________________________________________

City: ______________________________ State: _____________________ ZIP: _________

Country _________

SHIPPING Address:

Street: ______________________________________________________________________

City: ______________________________ State: _____________________ ZIP: _________

Country _________

Shipping Contact / phone __________________________________

Preferred Shipping Method:______________________________________________________

*note: We can ship via USPS, UPS or FedX, standard, second day, overnight
Normal shipping method is UPS ground.  Shipping and handling costs are added to your order. All prints are packaged in rugged shipping tubes.  Your credit card will not be charged until your order ships.  You will receive a confirming e-mail with your final invoice and charges. 

Order List: (add a second page if necessary)
Please List (1)Quantity     (2)Print Number       (3)Print Size
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Visa/MC/Discover (no AMEX) __________-__________-__________-__________

Last 3 Numbers Back of Card (security code)______Expiration Date _____ /______