ANTHRACITE ACTION PHOTO
YOUR MEMORIES ARE IMPORTANT TO US TOO
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Order Form
YOU DO NOT PAY FROM THIS PAGE. YOU CAN PRINT THIS FORM AND MAIL A CHECK OR MONEY ORDER. YOU MAY ALSO PRINT THIS PAGE AND "PAY AT THE GAME" IN PERSON. PHOTO'S WILL BE SENT TO PRINT ''''''''''''''ONCE PAYMENT IS RECIEVED'''''''''''''''
Make checks or money orders payable to:
Todd Burd
514 Main St. Aristes, Pa. 17920
Credit Card Payments are accepted directly at the photo site
www.anthraciteactionphoto.photoreflect.com
Game/Event
PHOTO ID #(# under or on the photo)
Quantity
Store Product (i.e. 8x10,,,poster,,etc....)
I will process orders once payment has been submitted
Name
Phone Number
email address
Payment Method
Order Confirmation: I WILL call or email you to verify your order. If you have not been contacted,,I have not received your order/payment.
