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Slate #:___________ JERSEY VILLAGE STARS – 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

 # 4: $26.00 1-Memory Mate 2-5x7 Portraits

2-3x5 Portraits 8-Wallets

ADDITIONAL ITEMS

                  

1-Memory Mate 1-8x10 Portrait 2-5x7 Portraits 8-Wallets

 # 3: $35.00 16-Trader Cards Please fill out Trader Card Information

1-Memory Mate 1-8x10 Portraits 2-5x7 Portraits 2-3x5 Portraits 8-Wallets

 # 5: $15.00

 # 6: $12.00

1-Memory Mate 4-Wallets

2-3x5 Portraits 4-Wallets

 NEW : $45.00

 NEW : $50.00

# 7) 1-Magazine Cover

$ 17.00

# 8) 16-Trader Cards

$ 21.00

# 9) 1-8x10 Portrait

$

9.00

#10) 2-5x7 Portraits

$

9.00

#11) 4-3x5 Portraits

$

9.00

Name:

#12) 8-Wallets

$

9.00

Age:

#13) 1-Statuette

$ 26.00

Jersey:

#14) 1-Magnet

$ 12.00

Position:

#15) 1-Photo Button

$

8.00

Team:

#16) 1-Key Chain

$

8.00

Division:

#17) 1-Mouse Pad

$ 14.00

Coach:

#18) 1-Action Plaque

$ 20.00

League:

#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

#23) 1-Fleece Throw

$ 75.00

AMT PD $________ / FORM _________ / RCVD BY ______

#24) 1-15oz Photo Mug

$ 14.00

FORM OF PYMT: CASH ____ / CK #_________ / CC #______

#25) 1-Photo Dog Tag

$ 10.00

LATE ORDERS AND/OR REORDERS WILL INCUR A $5.00 PROCESSING FEE + SHIPPING

GAME DAY PLAYER BANNER

“IMAGE HEAD” (just like “FatHeads”)

TRADER CARD INFORMATION

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.

FOR OFFICE USE ONLY:

If paying by credit card, fill out the following information: Type: Visa / Master Card American Express Discover AMOUNT $_____________

Card #:________________________________ Security Code:_____________ Exp Date:______________ Signature: ____________________________________ (Jersey Village Stars – 2017)

Day Time Phone #:________________________