Slate #:___________ WEST UNIVERSITY PIRANHAS – 2017 CHILD’S NAME: _________________________ PHONE #: ___________________ DIVISION: __________ TEAM NAME: ___________________ JERSEY #:_______ *****************************************NO SUBSTITUTIONS*****************************************
# 1: $61.00 1-Memory Mate 1-8x10 Portrait 2-5x7 Portraits 4-3x5 Portraits 12-Wallets
# 2: $45.00 1-Statuette 1-Magazine Cover 16-Trader Cards Please fill out Trader Card information
16-Trader Cards Please fill out Trader Card Information
# 5: $15.00
# 4: $26.00 1-Memory Mate 2-5x7 Portraits
1-Memory Mate 1-8x10 Portrait 2-5x7 Portraits 8-Wallets
# 3: $35.00
# 6: $12.00
1-Memory Mate 4-Wallets
2-3x5 Portraits 8-Wallets
2-3x5 Portraits 4-Wallets
ADDITIONAL ITEMS
# 7) 1-Magazine Cover
$ 17.00
# 8) 16-Trader Cards
$ 21.00
1-Memory Mate 1-8x10 Portraits 2-5x7 Portraits 2-3x5 Portraits 8-Wallets
NEW : $45.00 GAME DAY PLAYER BANNER
NEW : $50.00 “IMAGE HEAD” (just like “FatHeads”)
# 9) 1-8x10 Portrait
$
9.00
#10) 2-5x7 Portraits
$
9.00
#11) 4-3x5 Portraits
$
9.00
#12) 8-Wallets
$
9.00
#13) 1-Statuette
$ 26.00
Age:
#14) 1-Magnet
$ 12.00
Jersey:
#15) 1-Photo Button
$
8.00
#16) 1-Key Chain
$
8.00
#17) 1-Mouse Pad
$ 14.00
#18) 1-Action Plaque
$ 20.00
#19) 1-Player Plaque
$ 30.00
#20) 1-5x7 Team Photo
$
7.00
#21) 1-8x10 Team Photo
$
9.00
#22) 1-Woven Throw
$105.00
MAKE CHECKS PAYABLE TO: IMAGES, INC. 9421 FM 2920, Bldg 6, Tomball, TX 77375 Phone: 281-587-9070 / Fax: 281-587-2392 Email:
[email protected] / Web: www.imagesinaction.com IMAGES WILL NOT ACCEPT POST-DATED PAYMENTS OF ANY KIND.
#23) 1-Fleece Throw
$ 75.00
FOR OFFICE USE ONLY:
#24) 1-15oz Photo Mug
$ 14.00
#25) 1-Photo Dog Tag
$ 10.00
TRADER CARD INFORMATION Name:
Position: Team: Division: Coach: League:
AMT PD $________ / FORM _________ / RCVD BY ______ FORM OF PYMT: CASH ____ / CK #_________ / CC #______ LATE ORDERS AND/OR REORDERS WILL INCUR A $5.00 PROCESSING FEE + SHIPPING
If paying by credit card, fill out the following information: Type: Visa / Master Card American Express Discover AMOUNT $_____________
Card #:________________________________ Security Code:_____________ Exp Date:______________ Signature: ____________________________________ (WEST UNIVERSITY PIRANHAS – 2017)
Day Time Phone #:________________________