South Marple Little League
South Marple Little League Active Image Media LLC 455 Doe Run Lane, Springfield, PA 19064 610.328.3456 www.activeimagemedia.com email: [email protected] A La Carte Items can be ordered with or without a package!
Package #1 - $45.00 1 - Pagemate 1 - Magazine Cover 12 - Trading Cards 1- Photo Button “All personalized” Package #3 -$29.00 1 - Memory Mate 2 - Photo Magnets 1 - 2” Keychain Package #5 - $27.00 1- Memory Mate 12 Trading Cards Credit Card Information
Package #2 - $36.00 1 - Memory Mate 12 Trading Cards 2 - Photo Magnets
Package #4 - $25.00 1- Pagemate 2 - 5x7 Individuals 2 - Photo Magnets Package #6 - $23.00 2 - 5x7 Individuals 4 - Individual Wallets 1 - 5x7 Team Photo VISA
MasterCard
Discover
Name on card _________________________________________________ Card # _____________ - _____________- _____________ - _____________ Exp Date ____________Sec. Code___________ Amount $___________ Address _________________________________________________________ Zip Code _____________ Phone #____________________________
**Don’t see what your looking for, give us a call** Separate at Perforation
South Marple Little League Prepay your order online @ www.activeimagemedia.com Go to the store then click on sports portraits then click on SMLL to order Please print your receipt and bring with this form to the photographer on Picture day!
Active Image Media, LLC 455 Doe Run Lane Springfield, PA 19064 610.328.3456 Athlete Information
PLEASE PRINT CLEARLY!
Athlete’s First and Last Name: __________________________________________________________________ Parent’s Names: __________________________________email: _____________________________________ Mailing Address:______________________________________________________________________________ City:______________________________________________________ State:_________ Zip:________________ Phone: ( )_____________________________ Team:___________________________________________ Age: _________ Position:__________________________________________________ Uniform # ___________ Hometown:_____________________________________________ Coach: _____________________________________ Order Information
Check your Order Carefully!!
1. List item #, quantity, price and total in the box on right.
ITEM #
QTY
PRICE
TOTAL
2. Enclose check or credit card information slip in the envelope provided. Cash is accepted but no receipts are available from the photographer. **Payment may be sent after picture day, however we cannot guarantee a timely delivery of your package* Check here if paying online Check here if paying by credit card
Make checks payable to: Active Image Media Note: A portion of our proceeds helps support South Marple LL Please print clearly! We will not be responsible for errors due to illegible handwriting. Thank you for your assistance!
email : [email protected]
Total Enclosed $______________
NOTE: Payment by check is your express authorization that any returned check may be represented to your account electronically or as an IRD along with a separate EFT or demand draft for the max returned/dishonored check fee as allowed by state law. State check fees are available at: www.statecheckfees.com or by calling 1.800.460.0124 4/17
Package #1 - $45.00 1 - Pagemate 1 - Magazine Cover 12 - Trading Cards 1- Photo Button “All personalized” Package #3 -$29.00 1 - Memory Mate 2 - Photo Magnets 1 - 2” Keychain Package #5 - $27.00 1- Memory Mate 12 Trading Cards Credit Card Information
Package #2 - $36.00 1 - Memory Mate 12 Trading Cards 2 - Photo Magnets
Package #4 - $25.00 1- Pagemate 2 - 5x7 Individuals 2 - Photo Magnets Package #6 - $23.00 2 - 5x7 Individuals 4 - Individual Wallets 1 - 5x7 Team Photo VISA
MasterCard
Discover
Name on card _________________________________________________ Card # _____________ - _____________- _____________ - _____________ Exp Date ____________Sec. Code___________ Amount $___________ Address _________________________________________________________ Zip Code _____________ Phone #____________________________
**Don’t see what your looking for, give us a call** Separate at Perforation
South Marple Little League Prepay your order online @ www.activeimagemedia.com Go to the store then click on sports portraits then click on SMLL to order Please print your receipt and bring with this form to the photographer on Picture day!
Active Image Media, LLC 455 Doe Run Lane Springfield, PA 19064 610.328.3456 Athlete Information
PLEASE PRINT CLEARLY!
Athlete’s First and Last Name: __________________________________________________________________ Parent’s Names: __________________________________email: _____________________________________ Mailing Address:______________________________________________________________________________ City:______________________________________________________ State:_________ Zip:________________ Phone: ( )_____________________________ Team:___________________________________________ Age: _________ Position:__________________________________________________ Uniform # ___________ Hometown:_____________________________________________ Coach: _____________________________________ Order Information
Check your Order Carefully!!
1. List item #, quantity, price and total in the box on right.
ITEM #
QTY
PRICE
TOTAL
2. Enclose check or credit card information slip in the envelope provided. Cash is accepted but no receipts are available from the photographer. **Payment may be sent after picture day, however we cannot guarantee a timely delivery of your package* Check here if paying online Check here if paying by credit card
Make checks payable to: Active Image Media Note: A portion of our proceeds helps support South Marple LL Please print clearly! We will not be responsible for errors due to illegible handwriting. Thank you for your assistance!
email : [email protected]
Total Enclosed $______________
NOTE: Payment by check is your express authorization that any returned check may be represented to your account electronically or as an IRD along with a separate EFT or demand draft for the max returned/dishonored check fee as allowed by state law. State check fees are available at: www.statecheckfees.com or by calling 1.800.460.0124 4/17
