Kite Boarding Photography Order Form

P.O. Box 22046 • Portland • OR 97269-2046 • USA
530-391-5869 • FAX 503-914-1800

Order Form

Print Out, Fill In, and Fax
Please print legibly when completing this form so we can avoid delays and mistakes.

Name:
E-Mail:

Image ID# (Complete - Date plus 12 digits)

File Size (S,M,L,XL)

Price (US$)

File Size	Single Image	Up to 10 Images*	Up to 30 Images*	*All Images (max 100)**
Small	$25 each	(no multi-image discount available for Small Size images)
Medium	$50	$100	$150	$250
Large	$75	$150	$225	$350
Extra Large	$100	$200	$300	$450
	*All images must be of the same individual to qualify for the multi-image price.

TOTAL DUE

P A Y M E N T	Payment Type: MasterCard Visa American Express
	CC#:	Exp. Date:
	Billing Address:	Billing Zip Code:
	I agree to pay the TOTAL DUE above in accordance with the card holder agreement.
	Signature:

Normal delivery is 1-2 weeks from the time of order with standard processing and electronic delivery.
To place order Fax the above information to JumpShot.

Online ordering is not an option at his time. JumpShot is working on a web based ordering system.