2023 ORDER FORM

One letter per Block

REF 2 5 8 9 2 8 3
Student’s Name M o e g a m m a t
Student’s Surname K i p p i e
Postal Address for
Registered mail
OR
Physical Address if
Courier is paid for.
Delivered between
9am - 5pm

ID Number 0 1 0 4 3 0 5 2 6 2 0 8 1 Postal Code

Daytime Contact no Cell Phone 0 6 6 4 7 2 6 0 3 0

Email 3 9 2 6 1 8 1 @ m y u w c . a c . z a
Graduation Date 2 D
D 0 /M
0 M
4 /Y
2 Y
0 Y
2 Y
3 Graduation Time 1 4 :0 0
University/Institute U n i v e r s i t y o f t h e W e s t e

Identification Discription
Describe clothes worn
on stage
Clothes
(not the Gown) worn on stage

STAGE PHOTOGRAPH ORDER FORM

A High Res Images Only:
x 3 High Resolution Images
supplied via Email
NB!!! No CD and Refunds for HR Images
R 400 □
x 3 (20x30cm) Prints

B Photo Prints Only: x 6 (10x15cm) Prints

Plus !! Low Res Email (10x15cm 72dpi) R 450 □
x 3 (20x30cm) Prints
COMBO
A+B
Prints +
High Res Images:
x 6 (10x15cm) Prints
x 3 High Res Images via Email R 550 □
NB!! No CD and Refunds for HR Images

EXTRA R150 FOR EXTRA R60 FOR I will Collect at the

NATIONAL COURIER INTERNATIONAL POST studio in Pretoria

Should you prefer payment via bank transfer,

please email your order with the proof of payment back to us.
Bank Details: Gordon Harris Photographic, ABSA Cheque Acc, 01015702296, Branch 632 005.
AMOUNT PAID R 0.00
Please use this reference number (REF: 2 589283 ) when making an EFT payment.

ALL ORDERS TAKE +/- 30 WORKING DAYS TO COMPLETE CASH Credit

Card
EFT

RECEIVED BY

Signature_______________________(Signature binds you to this order) Receipt no

Call Centre : Tel +2712 430 3725

1337 Stanza Bopape Street, Hatfield, Pretoria, 0083 - Email : info@ghphoto.co.za
Dear Graduate,
Congratulations on your academic achievement.
We are happy to announce that we have been appointed as your ofcial photographer.

PLEASE TAKE NOTE OF THE FOLLOWING POINTS:

*Kindly note only paid orders will be accepted.
*Offer only valid on the day of your graduation.

We offer two services at your graduation;

1. FAMILY / STUDIO PHOTOGRAPHS (see attached Family Photograph Order Form)

These photographs will be taken from 2 hours before the graduation ceremony and
again after the ceremony.
Please note no Family / Studio Photographs will be taken during the ceremony.

2. STAGE PHOTOGRAPHS (See attached Stage Photograph Order Form)

We will be taking 3 photographs of you (each graduate) during the ceremony,

remember to look at the cameras with a smile.

Packages on offer.
COMBO A+B PACKAGE A PACKAGE B
1 (20x30cm) print
First Photograph 2 (10x15cm) prints Digital Image Only
via email
1 (20x30cm) print
2 (10x15cm) prints
(On Stage) & Digital image
via email
1 (20x30cm) print
Second Photograph 2 (10x15cm) prints Digital Image Only
via email
1 (20x30cm) print
2 (10x15cm) prints
(On Stage) & Digital image
via email
1 (20x30cm) print
Third Photograph 2 (10x15cm) prints Digital Image Only
via email
1 (20x30cm) print
2 (10x15cm) prints
Either a 3rd stage photograph or a portrait photograph - & Digital image
depending on your institution. via email

Low Resolution Email*

of your stage photographs Excluded Excluded Included
10x15cm at 72dpi - (social media purposes only eg.FB & G+)

High Resolution Email*

of your stage photographs Included Included Excluded
20x30cm at 300dpi images via email only
for own reproduction. (3rd party printing quality at own risk)

International Postage International Postage

Postage & Courier excluded N/A & Courier excluded

*Please note, that no refunds are available for digital images.