Action Collage Order Form

TAG MY CHILD
TM

Player's Name: __________________________________________

Age: ___________________________________________________
Parents' Names: _________________________________________
Cell Phone: _____________________________________________
Home Phone: ___________________________________________

Team's Name: _________________ Team Color: ______________________

Age Division (circle one): 3 yrs old, 4/5, 6/7, 8/9
Coach's Name: ____________________________________________________
Shirt Number: _____________________________________________________
Today's Game Time: ________________________________________________
Location (circle one): Maplewood A/Dirt Maplewood A/Grass
Maplewood B/Dirt Maplewood B/Grass

Collage Style
Quantity Description Amount
______ Wall Action LIVE! - Wall Cling _________
______ Poster Size “3-Pic-Action” Collage @ $35 __________
______ Poster Size “4-Pic-Action” Collage @ $35 __________
______ Standard Size “3-Pic_Action” Collage @$25 __________
______ Standard Size “4-Pic_Action” Collage @$25 __________

______________________________________
SUBTOTAL: __________
TAX 6%: __________

TOTAL:
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