Date of Game: ______/______/2008
Name: ______________________________________ Player Name: _________________________________________
Phone#: (______)______________________________
Picture Number(s): __________________________________________________________________________________
Cost $1.00 each picture if you wish multiple copies please indicate that.
CD/DVD of raw images $5.00 total size of pictures will determine if it is on cd or dvd - NOTE: Pictures ONLY no video.
Number of pictures _______ Number of cd/dvd ________ Total enclosed: $_____________
Make Checks payable to "Lake Shore Quarterback Club"
NOTE: Order may be giving to your player. Please allow time for our voluniteer to process your order.
PROCEEDS TO BENEFIT THE FOOTBALL PROGRAM
If you are not from Lake Shore and want copies/cd/dvd Please add $1.00 for
shipping/packaging
Mail order to:
Football 2008
30019 Taylor
St. Clair Shores MI 48082
Print this form and fill it out and have it returned to the coach with payment