Soccer Photos (Credit Card) Order Form
*** PLEASE COORDINATE WITH YOUR TEAM COACH FOR THE TEAM PICTURE TIME THIS SATURDAY, JUNE 5th. INDIVIDUAL PLAYER PICTURES WILL BE TAKEN AT THE SAME SCHEDULED APPOINTMENT TIME AS THE TEAM PICTURE. *** THIS FORM IS FOR ONLINE CREDIT CARD PAYMENTS ***
Player Name
*
First Name
Last Name
Player Date of Birth
*
-
Month
-
Day
Year
Date
Parent or Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Uniform Number
*
Team Name
*
My Products
*
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( X )
Wallets (Player Only - Set of 4) 2.5x3.5"
Please enter a short description.
$
6.00
Quantity
1
2
3
4
5
6
7
8
9
10
5" x 7" (Player)
Please enter a short description.
$
6.00
Quantity
1
2
3
4
5
6
7
8
9
10
5" x 7" (Team)
Please enter a short description.
$
6.00
Quantity
1
2
3
4
5
6
7
8
9
10
8" x 10" (Player)
Please enter a short description.
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
8" x 10" (Team)
Please enter a short description.
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Digital Files (Player and Team)
$
25.00
Signature
*
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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