Xpress Foto E-order and Discount Form
If ordering by mail - You may make payment with check, money order, or credit card. Fill in all the fields below, then click "Print order form for mailing" at the bottom of this form to print this page.  Make checks or money orders payable to "Xpress Foto" and send payment with this completed order form to:

      Xpress Foto
      PO Box 80
      New Franken WI 54229.

If ordering by email - Fill in all fields below, including credit card info, then click "SUBMIT" at the bottom of the page. 

Shipping Information:
Name       
Address                Phone      
Address 2             Email        
City          
State        
Zip           

To Order: Fill in the image information for each image. The Image ID info can be found at the bottom of the images when viewing them.


Image #1    Event & Year        Image ID     
Package: Quantity/Size/Price


Image #2    Event & Year        Image ID     

Package: Quantity/Size/Price


Image #3    Event & Year        Image ID     

Package: Quantity/Size/Price


Image #4    Event & Year        Image ID     

Package: Quantity/Size/Price


Image #5    Event & Year        Image ID     

Package: Quantity/Size/Price

Subtotal  
Shipping 

Multiple package discounts
 If you buy 3-5 packages, take 5% of total
If you buy 6-8 packages, take 10% of total
If you buy 9 + packages, take 15% of total

TOTAL DUE  $

CREDIT CARD INFORMATION - only if paying with credit card
Credit Card #:
 Security #
(3 digits on back of card):
 Expiration Date:
Month
Year
Credit Card Type

Visa
MasterCard
       American Express
Discover

Billing Information for credit card: if different than shipping
Name       
Address               Phone      
Address 2            Email       
City          
State        
Zip           

Let me know about any special instructions or requests:

    Click this button only if you are paying with credit card and completed the above credit card information.

    Click this button to print out and mail in order