Beach Photography

104 East Main Street

Blanchester, OH 45107

To get your payment amount due take the package price times your tax rate to get your total.  Subtract what you have paid so far for your balance.  Divide balance in half for 8 week payment and 3 week payment.  Must be paid in full by three weeks prior to ceremony.  Print form below, fill out and mail to address above.  Payments over the phone will not be accepted. You can also use this form to purchase the High Rez DVD.  Just make a note at the bottom what your payment is for. Add 7% for OH

CREDIT CARD PAYMENT FORM

Brides Name ____________________________ Grooms Name _________________________

Wedding Date _________________  Amount to charge to card $________________

Card Holder Signature _____________________________________________________

Card # _______________________________________ Expiration Date __________________

Last 3 Digits on back of card _______ Name on Card _________________________________

Billing address for card _________________________________________________________

City ___________________________ State ____________ Zip __________________

Address to send receipt to: (If different from above otherwise write SAME).

__________________________________________________________________________

City __________________________ State _____________ Zip ___________________

Notes: ______________________________________________________________________

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