Name: ________________________ Phone: ___________ Event: ________________
Team: ________________________ Email: ___________________________________
Mailing Address: ___________________________________________________________
City/State/Zip: ___________________________________________________________
Quantity Size Cost Image No(s). Total
________ 4x6 $6 _________________________ $__________
________ 5x7 $10 _________________________ $__________
________ 8.5x11 $20 _________________________ $__________
________ 11x17 $30 _________________________ $__________
________ 13x19 $40 _________________________ $__________
________ CD $35 _________________________ $__________
(all images of a player identified by purchaser)
________ Team CD $200 (DNA Media will identify $__________
all images of a team taken during the tournament)
________ 1 image $10 _________________________ $__________
(DNA Media will email a full resolution image--no s/h charge)
Shipping/Handling $ 3.00
Total Due $__________
Payment Options
1) by check payable to DNA Media and sent to: DNA Media
1509 East Lake St.
Ft. Collins, CO 80524
Please copy and email the above order form with images selected. We will place your
order in a pending file and upon receipt of your check the photos will be printed and
mailed.
2) by credit card using PayPal. Please go to the following PayPal link to complete your
credit card order. Click here to pay via PayPal. You will need to go to the "Send Money" tab.
Our email address is: adibona826@comcast.net
Please copy and email the above order form with images selected. We will place your
order in a pending file and upon confirmation by PayPal we will print and mail your order.
Questions
Please contact us by email: adibona826@comcast.net or call 970-481-4742.