Select Which Options You Want to Order Please fill out the form below to get started. After you complete the form, you will receive a follow-up email with payment information. If you wish to order prints, make sure to have the image number ready from the folder, as you will need to enter it in order to complete the form. If you do not want digital or printed copies of your scouts’ pictures, you do not need to fill this out. Parent Name * Please have this match the name that was put on the form at the photo shoot First Name Last Name Email * Please have this match the email address that was put on the form at the photo shoot Phone (###) ### #### I would like to purchase all digital images of my scout(s). * This will include individual photos, as well as group/family photos taken with your scouts. I Have 1 Scout ($10) I Have 2+ Scouts ($15) Please select any printed items you wish to purchase in addition to the digital images: What is the image number of the 1st image you wish to have printed? How many 4"x6" prints do you want of this image? ($5 each) 0 1 2 3 4 5 6 7 8 9 10 How many 5"x7" prints do you want of this image? ($7 each) 0 1 2 3 4 5 6 7 8 9 10 How many 8"x10" prints do you want of this image? ($10 each) 0 1 2 3 4 5 6 7 8 9 10 How many 11"x14" prints do you want of this image? ($20 each) 0 1 2 3 4 5 6 7 8 9 10 How many 3" Square Buttons do you want made with this image? ($5 each) 0 1 2 3 4 5 6 7 8 9 10 How many 3" Square Button-Style Magnets do you want made with this image? ($7 each) 0 1 2 3 4 5 6 7 8 9 10 How many 3.75" Square Coasters w/ Cork Bottoms do you want made with this image? ($45 Per set of 4) 0 1 2 3 4 5 6 7 8 9 10 If you would like to print another image, what is the image number of the 2nd image you wish to have printed? How many 4"x6" prints do you want of this image? ($5 each) 0 1 2 3 4 5 6 7 8 9 10 How many 5"x7" prints do you want of this image? ($7 each) 0 1 2 3 4 5 6 7 8 9 10 How many 8"x10" prints do you want of this image? ($10 each) 0 1 2 3 4 5 6 7 8 9 10 How many 11"x14" prints do you want of this image? ($20 each) 0 1 2 3 4 5 6 7 8 9 10 How many 3" Square Buttons do you want made with this image? ($5 each) 0 1 2 3 4 5 6 7 8 9 10 How many 3" Square Button-Style Magnets do you want made with this image? ($7 each) 0 1 2 3 4 5 6 7 8 9 10 How many 3.75" Square Coasters w/ Cork Bottoms do you want made with this image? ($45 Per set of 4) 0 1 2 3 4 5 6 7 8 9 10 If you would like to print another image, what is the image number of the 3rd image you wish to have printed? How many 4"x6" prints do you want of this image? ($5 each) 0 1 2 3 4 5 6 7 8 9 10 How many 5"x7" prints do you want of this image? ($7 each) 0 1 2 3 4 5 6 7 8 9 10 How many 8"x10" prints do you want of this image? ($10 each) 0 1 2 3 4 5 6 7 8 9 10 How many 11"x14" prints do you want of this image? ($20 each) 0 1 2 3 4 5 6 7 8 9 10 How many 3" Square Buttons do you want made with this image? ($5 each) 0 1 2 3 4 5 6 7 8 9 10 How many 3" Square Button-Style Magnets do you want made with this image? ($7 each) 0 1 2 3 4 5 6 7 8 9 10 How many 3.75" Square Coasters w/ Cork Bottoms do you want made with this image? ($45 Per set of 4) 0 1 2 3 4 5 6 7 8 9 10 If you would like to print another image, what is the image number of the 4th image you wish to have printed? How many 4"x6" prints do you want of this image? ($5 each) 0 1 2 3 4 5 6 7 8 9 10 How many 5"x7" prints do you want of this image? ($7 each) 0 1 2 3 4 5 6 7 8 9 10 How many 8"x10" prints do you want of this image? ($10 each) 0 1 2 3 4 5 6 7 8 9 10 How many 11"x14" prints do you want of this image? ($20 each) 0 1 2 3 4 5 6 7 8 9 10 How many 3" Square Buttons do you want made with this image? ($5 each) 0 1 2 3 4 5 6 7 8 9 10 How many 3" Square Button-Style Magnets do you want made with this image? ($7 each) 0 1 2 3 4 5 6 7 8 9 10 How many 3.75" Square Coasters w/ Cork Bottoms do you want made with this image? ($45 Per set of 4) 0 1 2 3 4 5 6 7 8 9 10 Thank you! I’m excited to work with you! You should hear back from me within 24 hours with instructions on how to purchase your order.If you have any questions in the meantime, please call or text Kevin at 740-480-1535. Or, you can send a follow up email to kevin@relivethemomentmedia.com.