Action Collage Order Form

TAG MY CHILD TM

Player's Name: __________________________________________

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

Team's Name & Color: ______________________________________________

Age Division (circle one): 4/5, 6/7, 8/9, 10/11
Coach's Name: ____________________________________________________
Shirt Number: _____________________________________________________
Today's Game Time: ________________________________________________
Location (circle one): BW 1, BW 2, BW 3

Collage Style (Frames Not Included)

Quanity Description Amount
______ Super Sized Action Poster @ $50 __________
______ 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 __________
______ Poster Size “Siblings Action” Collage @ $45 __________

______________________________________
SUBTOTAL: __________
TAX 6%: __________

TOTAL:
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©PMP Spring Football 2010