PICTURE DAY: MAY 7th, 2017

PICTURE DAY: MAY 7th, 2017 Payment MUST be made before or on picture day Please return form with exact CASH, CHECK or MONEY ORDER payable to: Melissa Davis All returned checks are subject to a $35.00 fee Melissa Davis-859-609-9704 [email protected]

Parent/Contact Information Name: Address: Email:

Phone Number:

Player Information Child’s Name:

Packages: Package A…$45 1- Memory Mate 2-8x10 Individual Picture 2-5x7 Individual Picture 8-Wallets 2-3.5 inch Button 12-Trader Cards 1-Flash Light Keychain Package B...$35 1-Memory Mate 1-8x10 Individual Picture 1-5x7 Individual Picture 8-Wallets 1-3.5 inch Button 12-Trader Cards Package C…$25 1-5x7 Team Picture 1-8x10 Individual Picture 2-5x7 Individual Picture 8-Wallets 1-3.5 inch Button Package D… $15 1-5x7 Team Picture 2-5x7 Individual Picture 8-Wallets Individual Picture

Age: _

Jersey Number:

Specialty Items: Item 8x10 Team Picture

Price $7.00

5x7 Team Picture 8x10 Individual Picture 2-5x7 Individual Picture 8- Wallets Individual Picture Flash Light Keychain 11 oz. Ceramic Mug Dog Tags 3x3 Magnet Memory Mate 20 oz. Aluminum Water Bottle Set of 12 Trader Cards 1- 3.5 inch Button

$5.00 $7.00 $8.00 $5.00 $8.00 $12.00 $6.00 $5.00 $5.00 $18.00 $11.00 $3.00

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