Name or Number of Image For
Dennis Glennon To Critique
Dennis Glennon Photography
~ Private Critique Package Order Form ~




Complete the order form below for EACH ONE Private Critique Package and press "place order"! 
We'll confirm your order as soon as possible.
Total Due: $19.00
Thank you for your order!
A confirmation e-mail will be sent to you!
Name:
Address
Phones:
E-mail:
Method of Payment
ALL PAYMENT MUST BE MADE IN U.S. TENDER

When you place your order from this form, you will receive a confirmation e-mail within 24 hours of submission with
instructions on how to make payment.

To view these instructions now, click here!
Payment Options
Check this box to instruct us to process your credit card directly from this form.
This area is NOT guaranteed secure.
For guarunteed secure on-line payment, please use our PAYPAL service.
credit card number
name as it appears on the card
Type of Credit Card
.
$
Amount To Charge:
Please tell Dennis how   you found his website:
Dennis Glennon Photography
WARNING!
E-mail ordering is never guaranteed secure.

For certain secure credit card payment,
please click here to use our PAYPAL service.
expiration date  (month and year)
1.
URL / web address of image
2.
3.
PAYPAL International on-line payment
CREDIT CARD submission on this form below
I will CALL-IN my credit card information to 1-201-343-8889
Credit Card Information
Visa
MasterCard
Discover
American Express