Picture Order Form

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LeClerc Photography

www.LeClercphoto.com | (508) 880-7005 PAYMENT IS DUE ON PHOTO DAY

A

HALL OF FAME

8x10 Designer Memory Mate 8x10 Individual 5x7 Individual 4 Wallets FREE 3x5 Designer Magnet

$

Make Checks Payable to: LeClerc Photography

ALL-STAR

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C

$

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CREATE YOUR OWN PACKAGE

SUPER PLAQUE

$

NEW! BREAKOUT

BRK3

9x12 Designer Memory Mate Plaque 8x10 Designer Magazine Cover 8 Pro Wallets 2 5x7 Designer Individuals

8x10 Designer Memory Mate 2 5x7 Designer Individuals 4 Pro Wallets

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PICTURE DAY PROCEDURES

Have your team at the photography location 15 minutes early Ensure your players come dressed with the correct uniform Parents must complete order form before appointment Orders without sales tax will not be processed We cannot photograph the team picture until all forms are complete and players are present

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Any 4 for $43!

MAKE THIS YEAR SPECIAL! PRODUCT FEATURES YOUR CHILD ON A CUSTOM GRAPHIC BACKGROUND, INCLUDING NAME, TEAM, AND YEAR!

Mix and match any of the items in this box. You may order more than one item. Write all item codes in the order box below.

8x10 Print 2 5x7 Prints 8 Wallets F 9x12 Memory Mate Plaque................... 26.00 G 8x10 Designer Memory Mate................ 14.00 H 8x10 Designer Memory Mate w/Mount...... 15.00 J 8x10 Magazine Cover............................. 16.00 K 8 Pro Trading Cards.................................17.00 M Set of 2 Designer Buttons......................13.00 N 5x7 Calendar Magnet w/ Individual.....12.00 O 11/2 x21/4 Key Chain (double-sided).........11.00 P Dog Tag (double-sided)........................... 10.00 Q 3x4 Bag Tag.............................................12.00 R Set of 5 Game Tickets............................15.00

S 8x10 Individual Cut Out Statuette........ 26.00 T 8x10 Designer Statuette........................26.00 U Mouse Pad................................................15.00 V Set of 2 Designer 3x5 Magnets............ 15.00 W 5x7 Designer Team................................. 10.00 AA 8x10 Designer Team..............................13.00 BB 8x10 Individual........................................13.00 CC 2 5x7 Individuals.....................................13.00 DD 8 Wallets...................................................13.00 EE Clipboard w/ team photo....................... 25.00 FF License Plate w/ Individual................... 22.00

GG HH JJ KK

$

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Beverage Insulator (Koozie)................... 16.00 iPhone 5 Case..........................................25.00 iPhone 6 Case..........................................25.00 iPad Case w/ Magnetic Closure............ 40.00

ORDER HERE & PRINT IN BLUE OR BLACK INK ONLY. ANY ILLEGIBLE/MISSPELLED WORDS ARE NOT OUR RESPONSIBILITY FIRST NAME LAST NAME ONLY. NO MIDDLE NAMES. E B X A 1 M P L$25 E

wPLAYER’S NAME

Package/Item

QTY

TOTAL

LEAGUE DIVISION TEAM COACH

COMPLETE ALL FIELDS MARKED WITH “ w “ FOR TRADING CARDS

w

POSITION

wAGE

wHEIGHT

FEET

wWEIGHT

INCHES

UNIFORM #

PARENT’S NAME ADDRESS

SUBTOTAL DUE

CITY

X.0625 SALES TAX

STATE

ZIP CODE

TOTAL DUE

PHONE

EMAIL

PHOTOGRA PH ER PHOTOG INITIALS

IMAGE #’S

&

LA B

USE

O N LY

IMAGE # TO PRINT

4965_002 TEAM FRAME #

NO PAY

COMBO

TEAM ONLY

Payment by check is your express authorization that return checks may be electronically represented and that we may draw a check on or electronically debit your account for a return check fee of $30 or state allowed maximum. All photographs taken by LeClerc Photography are copyrighted and may be reproduced for advertising purposes.