Photo Number (see back of photo for your photo number): ____________________
Name of Child: _______________________________________________________
School Name: _______________________________________________________
School City: _______________________________________________________
Parent’s Name: _______________________________________________________
Street Address: _______________________________________________________ _________________________________________________________
City: ______________________________ State: ___________ Zip: ______________
Daytime Phone: ____________________________ Date: _____________________
Reason for Return: ______________________________________________________ ______________________________________________________________________ ______________________________________________________________________
Please allow three (3) weeks for refunds to be processed.