Bassetti Photo, Inc.

Kirkwood Soccer Club

Your Picture Day is: Saturday, Oct. 22 & Sunday, Oct. 23, 2016

P.O. Box 695 Minotola, NJ 08341 • www.bassettiphoto.com A. B. C. D. E. F.

Photo Packages

A Package B Package C Package D Package E Package F Package

Player Information

$42.50 $43.75 $27.50 $28.75 $18.50 $28.75

(Print Neatly) Información del Jugador (Escribir Claramente) PLAYER’S LAST NAME: Apellido

Subtotal:

Add-On Items

You must purchase a package before selecting an add-on. Solo disponible si un paquete en senado arriba se han ordenado. 1. 8 Trader Cards $10.00 2. USB with Copyright release $15.00

PLAYER’S FIRST NAME:

Primer Nombre

Team Name & Division:

Nombre de Equipo

Telephone #:

Telefono

Parent/Guardian’s Name Placing Order:

Nombre de Parente:

(add-on price, individual photo only)

Subtotal:

Trader Card Information

A-La-Carte Items

May be purchased separately. Puede ser comprado separados. G. Composite Photo Panel (3x5 Ind.+7x5 Team) $23.00 $15.00 H. 8 Trader Cards $30.00 I. USB with Copyright release J. K. L. M. N. O. P. Q. R. S. T. U. V. W. X. Y. Z1. Z2. P1. P2.

(a-la-carte price, individual photo only)

1 - 8x10 Photo 2 - 5x7 Photos 9 - Wallet Photos Personalized Sport Composite 6 - Magnetic Wallets 1 - 2x3 Aluminum Magnet 11 oz. Ceramic Mug 20 oz. Aluminum Water Bottle 14 oz. Stainless Steel Travel Mug 20x30 Poster Photo Sport Ball Bobblehead Large Photo Statuette Dog Tag with Chain 2 - Key Chains with 6 - Large Wallets Personalized iPhone Case 4/4S 5/5S 5C 6 6 Plus 7x5 Team Photo Only 10x8 Team Photo Only Composite Wood Plaque (3x5 Ind.+7x5 Team) Individual Wood Sublimation Plaque Soccer Football

Shield Home Plate

Please fill in completely. Any blank spaces will be left blank on your trader cards. Age: Height: Weight: Uniform #:

$14.00 $14.00 $14.00 $18.00 $15.00 $10.00 $15.00 $16.00 $16.00 $27.00 $22.00 $15.00 $25.00 $10.00 $15.00 $20.00 $11.00 $13.00 $32.00 $30.00

ft.

Position:

Coach:

Favorite Pro:

Order Information This is a fundraising project for your league. BACKGROUND SELECTION:

Order Total:

$

Yes! Add a cardboard easel frame to my package for only $2.00!

$

Yes! Send my child’s photo to my mobile phone for only $3.00!

$

Enter Number

(Must have an internet-enabled phone. Standard messaging charges from your carrier may apply.)

Mobile Phone Number:

Yes! I spent over $25.00 in photo products! (Check ONE free gift)

GRAND TOTAL: Suma Total:

$ 8x10

6 Wallets

Payment Information

Basketball

Subtotal:

To prepay online, use code: KSC

Premium A-La-Carte Items

To pay with envelope, fill in information below:

May be purchased separately. Puede ser comprado separados. AP1. 12x18 Action Poster- See Secretary on Picture Day! $49.00 $25.00 (add mounting and framing to AP1) AP2. 20x30 Action Poster- See Secretary on Picture Day! $69.00 $48.00 (add mounting and framing to AP2) $40.00 AT1. Attitude Composite (10x13 Ind. & Group) AT2. Attitude Portrait- See Secretary on Picture Day! $32.00 $18.00 WS1. 8” Sport Ball Design Wall Stick Soccer

WS2. 8” Shield Design Wall Stick (Ind. Photo only) $18.00 $25.00 WS3. 24”x9” Pennant Wall Stick Fire Steel Lightning $84.00 WS4. Supersized Wall Champion Subtotal: CS

Mobile Carrier:

Game Day Tickets

Team Photo

Individual Photo Group Photo Football Baseball Basketball

lbs.

in.

Team:

AP

W!

For office use only

Payment Method:

Cash

Check* #

Credit**

*Please make checks payable to: Bassetti Photo, Inc. 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: 1-800-460-0124 or www.statecheckfees.com

** Credit Card #: Expiration:

** Authorized Signature:

Billing Zip Code:

Street # Of Billing Address: