Customer
Information
Contact Name:
Student Name:
Address:
City:
State:
Florida
Outside the US or Canada
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Labrador
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
Zip Code:
Daytime Phone:
Evening Phone:
Email
Address:
Photo
Shoot Information
School/Company:
***Sport/Group:
***Please
be as specific as possible (i.e. Varsity, Advanced, 8th Gr, etc...)
Shoot Date
(if known):
Jersey #
(if applicable)
Proof #
or Exposure #
(located on the back of ind)
Bonus/Combo
Packages
Individual
Bonus Package
1-8x10, 2 5x7's & 8- wallet Individuals $40 x Qty:
Individual/Team
or Group
Combination Package
1-8x10 Team or Group, 2 5x7's & 8- wallet Individuals $40 x Qty:
Please be sure to specify the team or group above in detail
(i.e. 6th Grade Orch, Varsity Football, 7th Per Advanced Band, Etc...)
Specialty
Items
1 - 8x10 "Digital" Team
Photo Calendar
$20 x Qty
1 - 8x10 "Digital" Individual
Photo Calendar
$20 x Qty
1 - 8x10 "Digital" Individual Magazine Cover $22 x Qty:
2 - 4x5 Photo Magnets $12 x Qty:
2
- 3 inch Photo Buttons
$12 x Qty:
2 - Photo Key
Chains
$14 x Qty:
"A
La Carte" Individual Portraits
8 - 2x3 Wallet Individuals $15 x Qty:
16 - 2x3 Wallet Individuals $25 x Qty:
4 - 4x5
Individuals
$16 x Qty:
2 - 5x7
Individuals
$18 x Qty:
1 - 8x10
Individual
$20 x Qty:
1-11x14
Individual
$35 x Qty
1-16x20
Individual
$50 x Qty
Captioned
Team, Group and Composite Portraits
1 - 20x24 Team, Group or Composite $55 x Qty:
1 - 16x20 Team, Group or Composite $40 x Qty:
1 - 11x14 Team, Group or Composite $28 x Qty:
1 - 8x10 Team/Group (NO COMPOSITE)$20 x Qty:
1 - 5x7 Team/Group (NO COMPOSITE) $15 x Qty:
Wood
Wall Plaques
1 - 8x10 Individual Wood Wall Plague
$30 x Qty:
1 - 8x10 Team Wood Wall Plaque
$30 x Qty:
1 - 8x10
Magazine Cover Wood Wall Plaque $35 x Qty:
1 - Team Calendar Wood Wall Plague
$32 x Qty:
1 - Individual Calendar Wood Wall Plaque
$32 x Qty:
1 - Digi Mate Wood Wall Plaque
$35 x Qty:
1 - Coach and Kid Wood Wall Plaque
$32 x Qty:
Youth
League Specialty Items
DigiMate w/Group & Individual and easel mount $22 x Qty:
*16-Personalized Trading Cards (fill out info below) $26 x Qty:
*8-Personalized Trading Cards (fill out info below) $20 x
Qty:
*Info
needed for Trading Cards:
First
and Last Name of athlete
League
Name
Year
Coach
Jersey
#
Age
Height
Weight
Position
CREDIT
CARD ORDERS:
I authorize you to process my credit card for the above Reorder.
Credit Card:
Mastercard
VISA
Credit Card Number:
Name as it Appears
on Credit Card:
Expiration
Date:
/
3-Digit Code on back of card
FOR
CHECK ORDERS:
Send
your check to:
Gigante
Productions, Inc.
19046 Bruce B. Downs, PMB #132
Tampa, Florida 33647