* = required field.
*Groom's name
*Bride's name
*Wedding Date
*Photo Password
*Name of Person Ordering Photos
*Mailing Address for Photos
*E-mail address
*Primary phone w/ area code
*Secondary phone w/ area code


Credit Photos
9 - 4 x 6's, 4 - 5 x 7's , 2 - 8 x 10

Please enter in the 4 digit Image Number found on the DotPhoto web site.
9 - 4 x 6's



4 - 5 x 7's


2 - 8 x 10's

* Order Additional Prints *

Individual Prices
4-Pack Wallets(one image) - $9.95
4 x 6 - $5.95
5 x 7 - $9.95
8 x 10 - $16.95
11 x 14 - $29.95
Please enter in the 4 digit Image Number found on the DotPhoto web site.
4-Pack Wallets
4 x 6
5 x 7
8 x 10
11 x 14


Photo Re-Order Packages
Re-Order Package 1 - $99.95
(Save $13.55)
Please type in 4 Digit Image #
 Re-Order Package 2 - $149.95
(Save $19.15)
Please type in 4 Digit Image # 		Re-Order Package 3 - $249.95
(Save $42.55)
Please type in 4 Digit Image #

Special Requests, Please let us know if you have any special requests or questions:

Summary of Charges


Cost for Prints:
Shipping & Handling:
Order total:

Please allow roughly 3 to 4 weeks for delivery, once you submit your photo order. On
occassion, photos may take a little longer due to holidays and international mailing.
Payment Details>>
 Only Include Payment Details if you are
Ordering Additional Prints.
Type of card
Credit card number
Credit card expiration date
Name on card
Billing Zip Code

By submitting this form, I authorize Graceland Wedding Chapel to charge my credit card for the payment of the photographs.

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