|
|
Name:
|
|
Phone:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Alt. Phone:
|
|
|
Street Address:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Apt. #
|
|
|
|
|
City:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Prov./State
|
|
|
|
|
Postal Code/Zip
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Referred By:
|
|
|
Email Address:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Preferred method of contact:
|
|
|
|
|
|
|
|
To order your pictures please submit the following information. You will be contacted for order confirmation and payment options.
|
|
|
|
jpg #:
|
|
Qnty:
|
|
|
Event:
|
|
|
|
Product:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Caption info: (eg. name, team name, number, special thanks etc.)
|
|
|
|
|
|
|
|
|
|
|
|
|
jpg #:
|
|
Qnty:
|
|
|
Event:
|
|
|
|
Product:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Caption info: (eg. name, team name, number, special thanks etc.)
|
|
|
|
|
|
|
|
|
|
|
|
|
jpg #:
|
|
Qnty:
|
|
|
Event:
|
|
|
|
Product:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Caption info: (eg. name, team name, number, special thanks etc.)
|
|
|
|
|
|
|
|
|
|
|
|
|
jpg #:
|
|
Qnty:
|
|
|
Event:
|
|
|
|
Product:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Caption info: (eg. name, team name, number, special thanks etc.)
|
|
|
|
|
|
|
|
|
|
|
|
|
Additional Comments or Questions
|
|
|
|
|
|
|
|
patti@jjpromotions.ca
|
|
|
|
|
|
|
|
|
|
|
|
|