Old West Credit Card Payment form
Please fill out the form to book your photography session.
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Date of your appointment so I can give you credit for the deposit or payment.
-
Month
-
Day
Year
Date
Select Session Type your paying for
Session 1 Full payment- $100
session 2 full payment - $200
session 1 or 2 deposit - $15
session 3 deposit- $25
Session 3 full payment - $220
Session 4 full payment- $400
session 4 or 5 Deposit- $50
Session 5 full payment- $500
I would like to add a tip.
My Products
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next
( X )
deposit for sessions 1 or 2
$
15.00
Quantity
1
2
3
4
5
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10
session 1
$
100.00
Quantity
1
2
3
4
5
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7
8
9
10
session 2
$
200.00
Quantity
1
2
3
4
5
6
7
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9
10
deposit session 3
$
25.00
Quantity
1
2
3
4
5
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8
9
10
Session 3
$
220.00
Quantity
1
2
3
4
5
6
7
8
9
10
deposit session 4
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Session 4
$
400.00
Quantity
1
2
3
4
5
6
7
8
9
10
Session 5 with approval only
$
500.00
Quantity
1
2
3
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5
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10
Session 5 deposit
$
100.00
Quantity
1
2
3
4
5
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10
tip in $5 increments ( Not required of course!)
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
$5
$10
$15
$20
Submit
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