Sports Order Form – Please complete ALL fields. Long Island Action Shots Inc. PO Box 18 Holbrook, NY 11741 Phone (631) 891-9457 Quantity Packages—unless specified otherwise, all prints are individuals Item Total Per Price Item A (1) 8x10, (2) 5x7, (2) 4x6, (8) Wallets $50.00 B (2) 8x10, (4) 5x7, (2) 4x6 $47.00 C (4) 5x7, (8) Wallets $40.00 D (2) 5x7, (8) Wallets $35.00 E (1) 5x7 Individual Photo, (1) 5x7 Team Photo $20.00 Individual Items F (1) 8x10 Team Photo $15.00 G (1) 5x7 Team Photo $12.00 H (2) 8X10 Individual Photo $30.00 I (2) 5x7 Individual Photo $20.00 J (8) Wallet Size Individual Photos $12.00 K (1) 16x20 Individual Photo Poster $55.00 L (1) Mouse Pad – Individual Photo $25.00 M (1) Magazine Cover – Individual Photo $20.00 N (16) Trading Cards (Please fill out information in margin) $25.00 Grand Total (Shipping and Tax Included in Prices) Team Coach Player First Name Player Last Name Player Address APT # City STATE ZIP Phone Email Trading Card Information Internal Use Internal Use – Image Numbers Age Years Individual Cash Height Feet Inches P Check Weight Pounds Team Position P Paid Uniform # Uniform NOTES: # P Make checks out to: L.I. Action Shots Inc. Enclose PAYMENT FOR EXACT AMOUNT due. Photographers will not make change! Cash and Checks accepted. No CODs. All photos will be mailed directly to your home. Not responsible for misspelled or illegible information. Please print clearly. Thank you.