South Walton Dixie League Pictures Kansas Pitts Photography
Date:
April 17, 2010
Player #
_________
(850) 387-6016
Parent(s) Name:
Player Name:
Phone:
Player Team:
(leave blank)
Address: Email Address: Package/Item # corresponds to the information sheet at the ordering desk! Package/Item
Description
Package #1
1 8x10, 2 5x7, 8 Wallets, Trading Cards
Package #2
2 5x7, 8 Wallets, Memory Mate, Keychain $40.00
Package #3
2 5x7, 4 Wallets , Memory Mate
Package #4
1 5x7, 4 Wallets, 1 Button
#5
Bag Tags $15.00/$18.00 (metallic)
#6
Plaques $29.00/$32.00 (metallic)
#7
8x10 Memory Mate with team and invidual shot $20.00/$25.00 (metallic)
#8
Magazine Cover $16.00/$18.00 (metallic)
#9
Trading Cards-Set of 12 $19.00/$21.00 (metallic) please put info on back
#10
Keychain-Acrylic $8.00/$10.00 (metallic)
#11
Button #3" diameter $8.00/$10.00 (metallic)
#12
Wall Clings 18 x 12 $75.00 (larger sizes available)
#13
Additional Prints (specific size & team or player shot)
Quantity/Size
Cost
$55.00
$30.00
$18.00
5x7 $6/$8 (metallic), 8x10 $14/$15 (metallic), 8 Wallets $14/$15 (met) #14
Custom Team Posters: 10x10 $40.00
#15
Specialty Items: Puzzle $45, labels $30, Stickers $30, Mug $30
20x20 $60.00
Can Cooler $12, Coasters $35, 8x10 Calendar $20, 11 x14 $35 Tickets $17
Please specify Item(s) & Quantity Subtotal 7% tax Total
Payment:
□Cash
□Check
□CC #______________________________________________ CC Exp. __________ CID#__________ (3 digits on back)
Delivery will be within 2 weeks. Kansas Pitts Photography is not liable for forms being incorrectly filled out. Please make sure to leave a correct phone number and email address in case of questions. Also parent/guardian signature below acts as a model release so that Kansas Pitts Photography may use images for blogging and/or advertisement purposes.
___________________________________________________________________ Date: ________________________
Parent or Guardian Signature