Form

Podium Photography Action Sports Photos Order Form
You can use this form to submit an order online. Just choose what photos you would like (e.g. DSC_0787) and fill out the form with mailing information and specify how you would like the pictures. Sizing and Pricing information is displayed in the pull-down menus. NEW You can now pay using PayPal, but keep in mind, if you pay with cash or check you must still mail it in an envelope to Michael Doose (see address information below).
First Name *
Last Name *
Email Address *
Phone # *
Home Address *
City *
State *
Photo #1 (e.g. DSC_2707)
Format
Photo #2
Format
Photo #3
Format
Photo #4
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Photo #5
Format
Photo #6
Format
Photo #7
Format
Photo #8
Format
Photo #9
Format
Photo #10
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Photo #11
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Photo #12
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Photo #13
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Photo #14
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Photo #15
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Photo #16
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Photo #17
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Photo #18
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Photo #19
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Photo #20
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Photo #21
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Photo #22
Format
Photo #23
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Photo #24
Format
Photo #25
Format
Notes/Comments about order
Subtotal: *
Total: (+$3 shipping unless subtotal is over $30) *
--NEW-- You can use PayPal to check out. Just check the box that matches your total and proceed to payment. If you do not wish to pay with PayPal, please scroll down to complete the order.
PayPal Checkout (optional): choose your total. This is 100% secure. After you click submit below, you will be directed to the PayPal website to complete payment.	+ ($10.00) + ($11.00) + ($12.00) + ($13.00) + ($14.00) + ($15.00) + ($16.00) + ($17.00) + ($18.00) + ($19.00) + ($20.00) + ($21.00) + ($22.00) + ($23.00) + ($24.00) + ($25.00) + ($26.00) + ($27.00) + ($28.00) + ($29.00) + ($30.00) + ($31.00) + ($32.00) + ($33.00) + ($34.00) + ($35.00) + ($36.00) + ($37.00) + ($38.00) + ($39.00) + ($40.00) + ($41.00) + ($42.00) + ($43.00) + ($44.00) + ($45.00) + ($46.00) + ($47.00) + ($48.00) + ($49.00) + ($50.00) + ($51.00) + ($52.00) + ($53.00) + ($54.00) + ($55.00) + ($56.00) + ($57.00) + ($58.00) + ($59.00) + ($60.00) + ($61.00) + ($62.00) + ($63.00) + ($64.00) + ($65.00) + ($66.00) + ($67.00) + ($68.00) + ($69.00) + ($70.00) + ($71.00) + ($72.00) + ($73.00) + ($74.00) + ($75.00) + ($76.00) + ($77.00) + ($78.00) + ($79.00) + ($80.00) + ($81.00) + ($82.00) + ($83.00) + ($84.00) + ($85.00) + ($86.00) + ($87.00) + ($88.00) + ($89.00) + ($90.00) + ($91.00) + ($92.00) + ($93.00) + ($94.00) + ($95.00) + ($96.00) + ($97.00) + ($98.00) + ($99.00) + ($100.00) Total : $0
Confirmation of Payment (for non-PayPal users) *	I will mail cash or a check made out to Michael Doose with the above total included. 150 Jane Ct, Clarendon Hills, IL, 60514
If you are not using PayPal, click Submit after checking the box above. If you are using PayPal, check the box above anyway, and click submit.