Name _____________________________________

Address ___________________________________

City, State, Zip ______________________________

Phone Number ______________________________

E-Mail _____________________________________

Pictures are $10 each + $5 for each additional copy of the same picture.. For size, please indicate either 4 X 6 or 5 X 7.

I would like to order the following picture(s):

Picture File Name ______________ size ________ qty._____$_________
Picture File Name ______________ size ________ qty._____$_________
Picture File Name ______________ size ________ qty._____$_________
Picture File Name ______________ size ________ qty._____$_________
Picture File Name ______________ size ________ qty._____$_________
Picture File Name ______________ size ________ qty._____$_________

Please add $1 to the full order for shipping.

Total amount of enclosed check $________

Please make checks payable to: Top Dog Foundation