form

Print Packages:	Price: Qty
Value Pack #1 (8x10, 2- 5x7, 8- wallets)	$20.00 _____
Value Pack #2 1- 8x10: 2- 5x7: 4- 3X5: 16- sub-wallets	$35.00 _____
Family Share Pack 4- 8 x 10: 8- 5 x 7: 32 wal: 16sub wal	$50.00 _____
1 - 16 x 20 With Title: Group/ individual.	$45.00 _____
1 - 10 x 14	$15.00 _____
1 - 8 x 10	$10.00 _____
2 - 5 x 7	$10.00 _____
4 - 3.5 x 5	$10.00 _____
8 - wallets	$10.00 _____
16 - sub wallets	$10.00 _____

Wheaties Box - 16x20Poster - Pennant - Statuette...

...

Memory Mate-Calendar Print-Photo Plaque

Specialty Item Packages	Price: Qty
Keepsake Pack #1 1-Magazine 2-Custom Magnets 2 ID Tags	$25.00 _____
Keepsake Pack #2 1- Calendar: 2- Key chains: 2- Photo Buttons	$25.00 _____
Trader Fun Pack 1- 8x10 Memory Mate: 8- Trader Cards	$30.00 _____
Jumbo Trader Pack 1- 10x14 Memory Mate: 24- Trader Cards	$50.00 _____
Pennant Memory Mate	$10.00 _____
1- 5x7 Statuette	$20.00 _____
___Mouse Pad ___Wheaties Box	$20.00 _____
_Magnet _KeyChain _IDTag _Button	$5.00 _____
___MagazineCover __Calendar __AppPrint	$10.00 _____
PhotoPlaque: __Coach__Player__Sponsor	$10.00 _____

SubTotal:.._____
Tax: .........x.0825
Shipping.....$6.00
TOTAL...$____

Make Checks Payable to SpiritPix.com

Amt. Enclosed or Charged (NO CASH) $ ______

____ Check or Money Order ..____Credit Card

____ ____ ____

CARD #__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
Exp Date __ __ / __ __
___________________________________________________ CARDHOLDER SIGNATURE DATE
___________________________________________________ CARDHOLDER PRINT NAME AS IT APPEARS ON CARD

__________________________________________________
STUDENT'S NAME:.....TEACHER'S NAME:.......GRADE
__________________________________________________ PARENT/GUARDIAN’S NAME:..............DAY PHONE __________________________________________________
MAILING ADDRESS:..........................E-MAIL ADDRESS
___________________________________________________
CITY:.......................STATE:................... ZIPCODE
___________________________________________________ *Height *Weight ...*Hair Color .*Eye Color
__________________________________________________
*Participant Address: *Participant Phone Number:
__________________________________________________
*Coach Name(s)..............*Team Name:............
__________________________________________________ *Appreciation Line 2..........*Sponsor(s)
*MODIFIERs-PRINTED IN SPECIALTY ITEMS (Please Print)

*Package Prices may vary by 15%. Prices do not include tax or shipping fees. Shipping Method: U.S. Mail - $6.00

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