Head Coach __________________________________________________

Team Name___________________________________________________

Child’s Name_________________________________      Jersey No.______

Parent’s Name _________________________________________________

Address ______________________________________________________

City__________________________________    State_____   Zip_________

Phone   ______________________________________________________

E-mail Address________________________________________________

 

ORDER FORM

Quantity

*Bonus – 2 wallets w/each memory mate!

Cost

Total

_____

 

Memory Mate (5X7 team & 3½X5 indiv.)*

$12

_______

______

 

Mem Mate Plaque (5X7 team & 3½X5 indiv.)*

$27

_______

Indiv.

Team

 

 

 

_____

  n/a

(2) 3½X5

$6

______

_____

_____

5 X 7

$6

______

_____

_____

8 X 10

$10

______

____

 

Magazine Cover (8X10)

$12

______

____

 

3” Photo Button

$7

______

____

 

2½X3½ Magnet

$8

______

____   Bag Tag (2X3½ PVC) $7 ______

____

 

(8) Wallets

$10

______

____   Fun Pak (12 Items-4 key fobs, 4 small tags, 2 book marks, 1 door hanger, 1 ruler) $15 ______

____

 

(8) Digital Trading Cards (fill in below)

$15

______

 

 

Position: __________________________________

 

 

 

 

Ht. ____’_____” Wt._______lbs.  Age:________

 

 

 

(Cash or Check. Sorry, no credit cards) TOTAL ENCLOSED

______

 

•Orders & payment must be received at the time of the session.

•Satisfaction is guaranteed  •$25 return check fee