Photo Order Form - WILDCATS 2005-09

John Shupe
1670 Poes Lane
Charlottesville, VA  22911

Your Shipping Information:

 

 Player Information (for verification):

 

                                (YOUR NAME)                                                         
                             (PLAYER NAME)                       (Jersey Number)
 

                                     (ADDRESS)                                                          

  

           (SPORT)                                        (Season, As Winter 2005) 
 

    (CITY)                                   (STATE)        (POSTAL CODE)           

NOTE:  Information will be kept in confidence, 
and used strictly for purposes of fulfilling your
order.  Supply an email address if possible.

 

                                   (EMAIL ADDRESS)                                               

Print Style Offerings And Prices
11x14 Combo - 

$ 20.00

 8x10 Combo - 

$ 14.00

 4x6 Print  -    $ 5.00 7 Photo Collage -  $ 30.00
11x14 Poster -   $ 18.00 8x10 Poster  -  

$ 12.00

 5x7 Print  -    $ 8.00
11x14 Print -   

$ 18.00

 8x10 Print  -    

  $ 12.00

Photo ID Number

  

Print Style Description

  

Price Each

  

Qty

  

Extended
Example:  BB020704    11x14 Poster  

18.00

  

1

  

18.00


               


               


               


               


               

 


Subtotal, Prints  

            

VA Tax - 5 percent		    
 Shipments to VA include 5 % tax on prints.		            
USPS to USA    Flat rate shipping charge          


$ 5.00

Total Enclosed		                

The Photo ID Number is located underneath the thumbnail photo.  Make checks payable to John Shupe.  Mail form and check to the address shown above.  Please allow 1-2 weeks for delivery.  For shipping outside the U.S.A., check the How to page on the web site for instructions.