2016 Sports Portrait Order Form
Donald/Carol Richie • 859.588.4705 • www.richiephoto.com • www.facebook.com/richie.sports.photo Twitter: @richiephoto
This form is effective March 1, 2016. All forms prior to this are invalid
Please read carefully before placing your order. Make your selection(s) from the items below, fill out the form and return
on the day of your photos. ***Payment is due at the time of service. Richie Photography accepts cash, checks and credit
cards. Checks should be made out to Richie Photography.
**Returned checks will be turned over to the county attorney if not resolved (including a fee) within two weeks.
Fill out all fields completely and legibly:
Parent/Guardian Name:
Player’s Name:
Mailing Address:
Team Name and Jersey#:
Phone Number:
E-mail (optional):
City/State/Zip:
Coach:
Facebook: www.facebook.com/richie.sports.photo; Twitter: @richiephoto
___Portait CD: High Resolution Digital Image on Disk with reproduction rights - Player and Team................................................................. $15
___Pkg. A: Two 3X5s of the player; One 5X7 of the team; __Gray Memory Mate (381) or __Print Memory Mate (382)................................................. $9
___Pkg. B: Two 3X5s, 4 wallets of the player; One 5X7 of the team; __Gray Memory Mate (481) or __Print Memory Mate (482)................................$11
___Pkg. C: Two 3X5s, 4 wallets & 8 mini-wallets of the player; One 5X7 of the team; __Gray Memory Mate (1581) or __Print Memory Mate.......... $15
___Pkg. D: Two 5X7s of the player; One 5X7 of the team; __Gray Memory Mate (495) or __Print Memory Mate (490)............................................... $14
___Pkg. E: One 5X7, 4 wallets of the player; One 5X7 of the team; __Gray Memory Mate (496) or __Print Memory Mate (492)................................. $14
___Pkg. F: One 5X7, two 3X5s of the player; One 5X7 of the team; __Gray Memory Mate (497) or __Print Memory Mate (493)................................ $14
___Pkg. G: One 5X7, 4 wallets of the player; One 8X10 of the team; __Gray Memory Mate Only (852).................................................................. $16
___Pkg. H: Two 5X7s, 4 wallets of the player; One 8X10 of the team; __Gray Memory Mate Only (853)................................................................ $18
___Pkg. I: One 5X7, 4 wallets & 8 mini-wallets of the player; One 8X10 of the team; __Gray Memory Mate Only (854)......................................... $18
___Pkg. J: One 3X5, 2 wallets of the player; One 5X7 of the team; 8 trader cards*; __Gray Memory Mate (S9) or __Print Memory Mate (S3).......... $26
___Pkg. K: One 5X7, two 2X3s of the player; One 5X7 of the team; 8 trader cards*;
Gray Memory Mate Only (S5).............................................. $28
___Pkg. L: One 5X7, two 2X3s of the player; One 8X10 of the team; 8 trader cards*;
Gray Memory Mate Only (S7)............................................. $31
Photo Trader Cards*: Prices are for cards only without package
____Set of 8 (S1) - $19;
____ Set of 16 (S2) - $30
* Fill out info below for Trader Cards
**Trader Cards: Fill out information below as you desire it to be printed on the cards.
Cards will not be ordered if all information is not legible and present.
Name _____________________________
Jersey Number _______
Age _____
Weight ______
Position ______________________
Coaches _________________________________________
Stand-alone and specialty items:
Quantity:
_____ 1 – 8x10 of the player........................................... $10.00
_____ 2 – 5x7 of the player............................................. $10.00
_____ 4 – 3 ½ x5 of the player........................................ $10.00
_____ 8 Wallets of the player.......................................... $10.00
_____ 1 – 10x20 Poster-size Print................................... $16.00
_____ Magazine Cover................................................... $18.00
_____ Mouse Pad........................................................... $20.00
Payment: Cash or Check #_________
Height: ___ Ft. ___In.
Team Name _______________________
League_______________________
_____ 2 – Buttons (w/name)........................................... $10.00
_____ 2 – Magnets (w/name).......................................... $10.00
_____ 2 – Buttons (no name)............................................ $8.00
_____ 2 – Magnets (no name)........................................... $8.00
_____ 2 – Wallet Magnets (w/name)................................ $12.00
_____ 1 – 8x10 Photo Calendar (5x7 photo size).............. $8.00
_____ 1 – 5x7 of the team only......................................... $6.00
_____ 1 – 8x10 of the team only..................................... $10.00
For Office Use Only
File#___________________