Client Information

Athlete First Name

Athlete Last Name

Team Name

Jersey color

Parent/Guardian Email

Parent/Guardian Phone

Parent/Guardian First Name

Parent/Guardian Last Name

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Package Selection

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Available Packages

Select Packages Below

• All-Star Package + $50.00
• Starter Package + $40.00
• Essentials Package + $25.00
• Athlete Digital Only + $20.00

Coach & Kid or Buddy picture 5x7 Add-On

Select Select 1 + $10.00 2 + $20.00 3 + $30.00

Ala carte items

2 - 5x7s

Select Select 1 + $15.00 2 + $30.00 3 + $45.00 4 + $60.00 5 + $75.00

8x10

Select Select 1 + $18.00 2 + $36.00 3 + $54.00 4 + $72.00 5 + $90.00

4 - 4x5s

Select Select 1 + $15.00 2 + $30.00 3 + $45.00 4 + $60.00 5 + $75.00

4x5 Magnet & 3.5in Button

Select Select 1 + $18.00 2 + $36.00 3 + $54.00 4 + $72.00 5 + $90.00

Memory Mate Traditional

Select Select 1 + $20.00 2 + $40.00 3 + $60.00

Hinged Memory Mate

Select Select 1 + $30.00 2 + $60.00 3 + $90.00

Travel Mug

Select Select 1 + $20.00 2 + $40.00 3 + $60.00

Calendar

Select Select 1 + $18.00 2 + $36.00 3 + $54.00

Sports Stand Up

Select Select 1 + $25.00 2 + $50.00 3 + $75.00

Magazine Cover

Select Select 1 + $18.00 2 + $36.00 3 + $54.00

8x10 Team Photo

Select Select 1 + $15.00 2 + $30.00 3 + $45.00

Billing Address

Address Line 1

Address Line 2

City

Country

Select Select Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

State/Province

Select Select AA AE Alabama Alaska American Samoa AP Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

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Sub Total

$0.00

TOTAL

$0.00

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Payment Method

• Credit Card
  Credit Card Type

  Select Select Visa MasterCard Discover American Express Diner's Club

  Name on Card

  Credit Card Number

  Expiration Date

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  Year Year 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035

  Verification Number

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