Order Form

P.O. Box 22046 • Portland • OR 97269-2046 • USA
866-621-3010 • FAX 866-621-0596

Order Form

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

Qty.

Size

Date

ID#

Show Code

Horse#

Price

Archive Fee = $20.00 per Image The archive fee applies to each image photographed prior to 2003 regardless of the number of prints ordered from the archived image. Electronic Submission Fee = $40.00 per Image The electronic submission fee applies to each image submitted to a publication by JumpShot. Additional licensing fees may apply. Rush Processing = $40.00 or 20% of order Subtotal Rush processing is for 4 day processing time. It does not include Rush or Standard shipping. The charge for rush processing is $40.00 on orders subtotaling less than $200.00 or 20% of the order subtotal on orders subtotaling $200.00 or more.
Standard Shipping Subtotal up to $300.00 = $10.00 Subtotal over $300.00 = $15.00	Rush Shipping 2-3 Day Service = $25.00 1 Day FedEx = $40.00 (FedEx Requires a Physical Address)
International Shipping Rates Vary by Country

Subtotal

Archive Fee

E-Submission Fee

Rush Processing

Shipping
(Select One)

1-Day $40

2-3 Day $25

Std. $10/$15

International

TOTAL DUE

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

To place order Mail or Fax the above information to JumpShot.

Online ordering is not an option at his time.
JumpShot is considering establishing a web based ordering system at a later date.