Portraits by Commission

Please print out this form and send it, along with a good photograph of the subject, to

Pauline Selhurst, 14 Mead View Road, Honiton, Devon EX14 2DR.

Once Pauline has received your photograph, she will phone you to discuss your requirements.

I would like an estimate for a portrait. I enclose a good photograph.

Name :

Address :


		

Post Code :

Telephone Number :

Signature :

Date :

Please telephone Pauline on 01404 46077 if you have any queries.