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Western Web Photo
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Order
Form. This form is provided for you to print out, fill in and send to us with your order and payment |
| Order Details |
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| Date: |
| Name | |
| Address | |
| City | |
| State | Zip Code |
| Telephone | |
| Players Name: | Jersey #: |
| Team Name: | |
| Quantity | *Name of Event & Date of Event | Picture Reference # | Print Size | Total Cost | ||
| $ | ||||||
| $ | ||||||
| $ | ||||||
| $ | ||||||
| $ | ||||||
| $ | ||||||
| $ | ||||||
| $ | ||||||
| $ | ||||||
| Subtotal | $ | |||||
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Add 6% SD Sales Tax | $ | |||||
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Please make checks payable to Western Web Photo | Total Enclosed | $ | ||||
| (*)PRINT
REFERENCES : Please indicate the name of your event (EX: Girls BB) and date
along with the
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