Mail Order Form

Circle Photo Ball Product Requested       Date order must be received by _______

Softball, white full size Baseball, w/red lacing Golf Ball, large 3" size
Hockey Puck, black Holiday Ornament Pet Ball, 3" Round
Football, small 9" size Basketball, 6" Round Soccer Ball, 6" Round
Football, full size Basketball, full size Soccer Ball, full size
Volleyball, small 6" size Home Plate, small 5"x5" Lacrosse Ball, 3" rubber
Volleyball, full size Bowling Ball, 6" diameter Water Polo Ball, small 6" size
Rugby Ball, small 10" size Rugby Ball, full size Water Polo Ball, full size
Field Hockey Ball, white rubber Cricket Ball, full size Billiard Ball, trophy not for play

Specify Year On Ball (Check Only One)
____
NO Year       ____ CURRENT Year        ____ Dual Years
                             (Display "2009")       (Displays "2008-2009")

Specify Picture Size On Ball (Circle Only One)      Ball Quantity ______                         
         
                              
      Full Picture        Waist Up         Head Shot (Best option)

JPG File Name (Example: Use your area code & phone number with JPG extension - 8136846700.jpg)

--------------------------------------------------------------------------------------------------------------------------------------------
Phone & Email Address
---------------------------------------------------------------------------------------------------------------------------------------------
How did you hear about us? (Retailer, School, Business, Organization) Name & Phone #
--------------------------------------------------------------------------------------------------------------------------------------------
Please Print Carefully - This is Your Shipping Label
Name
--------------------------------------------------------------------------------------------------------------------------------------------
Address 1
-------------------------------------------------------------------------------------------------------------------------------------------
Address 2
-------------------------------------------------------------------------------------------------------------------------------------------
City State Zip
--------------------------------------------------------------------------------------------------------------------------------------------

Website Development: Djams Corporation, LLC - Last modified: June 16, 2010