Student’s Name: Jersey#: Sport: Team: Fresh J.V. V 7th 8th Phone#: State: Zip: Add 8 Wallets Add 8 Wallets $10 $10 $35 $30 Add 8 Wallets Add 8 Wallets $10 $42 $27 Please Print Name On Order Form Please Print Name On Order Form $25 $20 $10 $25 Please Print Name On Order Form (I-I) 8x10 INDIVIDUAL $20 (I-G) 8x10 GROUP $20 ( J ) Designer Group 8x10 $23 (K-I) 5x7 INDIVIDUAL $15 (K-G) 5x7 GROUP$15 (L) 3” X 5” Photo Magnet $10 (M) 2” X 3” Bag Tag (N) 8 Personalized Wallets (First Name) (O) 8 Wallets (P) Sports Magazine Cover $10 $20 $15 $25 Please Print Name On Order Form (Q) (R) (S) (T) (U) Statue (Approximately 8”) $45 3 Image Sports Collage $65 24x48 Banner $55 Personalized Road Sign $49 6” Team Window Decal $12 Please Print Name On Order Form Name as you would like it to appear on items (please print) Pkg Reg. W/ Bonus Wallets Qty. A B C D $35 $30 $27 $42 $45 $40 $37 $52 Amount Item Add-On Items $ $ $ $ Exp Date: Daytime Phone: State: Zip: Make checks payable to Glutz Photography. City: Amount $ $ $ ORDER TOTAL $ Visa MasterCard Discover AMEX Acc# Signature: Name On Card: Address of Card Holder: Qty. Payment by check is your express authorization that it may be converted into a one-time Electronic Fund Transfer (EFT) from your account. All returned checks or EFTs may be re-presented electronically along with a separate EFT or demand draft for the maximum returned check fee allowed by state law. For inquiries: 800.460.0124 or www.statecheckfees.com Glutz McIntire Photography | 4472 Mt. Carmel-Tobasco Rd. Cincinnati, OH 45244 513.528.5888 | glutzphotography.com Event. Write Purchase Code in the box provided here. Large Memory Mate Small Memory Mate 3” Photo Button Designer Memory Mate TO PREPAY: Visit our website listed, select Online Ordering, then select Prepay (E) (F) (G) (H) $10 PLEASE MAKE SURE THE TOP SECTION IS FILLED OUT. Address: City: 4472 Mt. Carmel-Tobasco Rd. Cincinnati, OH 45244 513.528.5888 www.glutzphotography.com [email protected] PACKAGES Package A - $35 Package B - $30 Package C - $27 Package D - $42 • Large Memory Mate (8x10 group with 5x7 individual) • 1 5x7 & 1 Button of individual • Small Memory Mate (5x7 group with 3x5 individual) • 1 5x7 & 1 Button of individual Please Print Name On Order Form Please Print Name On Order Form • 8x10 Designer Memory Mate (Illustrated on back) • 1 Button of individual • 8x10 Designer Memory Mate (Illustrated on back) • 1 5x7 & 4 wallets of individual • 3x5 magnet ADDITIONAL ITEMS (E) Large Memory Mate (8x10 group, 5x7 individual) $25 (F) Small Memory Mate (5x7 group, 3x5 individual) $20 (G) 3” Photo Button (Illustrated on back) $10 (H) Designer Memory Mate (Illustrated on back) $25 (I-I) 8x10 INDIVIDUAL $20 (I-G) 8x10 GROUP $20 (Q) Statue (Approximately 8”) $45 ( J ) Designer Group 8x10 (Illustrated on back) $23 (R) 3 Image Sports Collage (Illustrated on back) $65 (K-I) 5x7 INDIVIDUAL $15 (S) 24x48 Banner (Illustrated on back) $55 (K-G) 5x7 GROUP$15 (T) Personalized Road Sign (Illustrated on back) $49 (L) 3” X 5” Photo Magnet (U) 6” Team Window Decal $12 Please Print Name On Order Form $10 (M) 2” X 3” Bag Tag (Illustrated on back) $10 (N) 8 Personalized Wallets (First Name) $20 (O) 8 Wallets $15 Please Print Name On Order Form Please Print Name On Order Form (P) Sports Magazine Cover (Illustrated on back)$25 Please Print Name On Order Form Please Print Name On Order Form 8x10 Designer Memory Mate 12x18 Sports Collage Street Sign sports 3x3 Photo Button 2x3 Bag Tag 24x48 Vinyl Banner GREAT FOR SENIORS & OPEN HOUSES! memory mates Designer 8x10 8x10 Sports Magazine Cover 6” Team Window Decal
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