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 _________________________ $__________
________ individual CD $38 _________________________ $__________
all images of one racer in one race event
purchaser provides image numbers--no s/h charge
________ individual CD $53 _________________________ $__________
all images of one racer in all 2009 race events
purchaser provides image numbers--no s/h charge
________ 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.
or call 970-481-4742.