Complete form, print, and mail along with your best photo (returned upon completion) and down payment check or money order
Name:
Mailing Address:
City:
State:	(please click to select) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist. of Columbia 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 Tennesse Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Telephone:
Fax:
email:
Portrait Size Desired:	Head & Shoulders ($250; $100 down) Head to Waist ($450; $200 down) 3/4 View with Hands ($750; $300 down) Full Length ($1,000; $500 down)
Payment:	(Note: Shipping will be added to cost of COD; Allow 4-6 weeks for delivery) Check Money Order
Comments:	Enter your Comments/Instructions here:
Mail Form, Photo & Down Payment to: Ken MacDonald, PO Box 1027, Middlebury, Vermont 05753, U.S.A.