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* First Name:   * Last Name:

* Mailing Address:   * City:

* U.S. State Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming * Zip Code:

Email Address:   Daytime Phone Number:

Photo(s) Being Ordered: - Photo Print Sizes & Pricing Guide Quantity 1 2 3 4 5 6 7 8 9 10 Select Photo Print Size or Digital Copy ----------------------------- 8x10 - $40 8.5x11 - $40 10x13 - $45 11x14 - $50 11x17 - $55 12x16 - $55 12x18 - $60 13x19 - $65 16x20 - $80 16x24 - $85 18x24 - $85 24x36 - $120 High Res. Email Photo : $100 Sized Down Email Photo : $40 * Photo Number:  - Where Do I Find My Photo Number? Race Date(s): - Race Date(s) Example Track or Event Name: - Race Track / Event Name Example Brief Description of the Photo: - Brief Description Example

More Photo(s) Being Ordered: (Use Only If Ordering More Than Allowed In The Above Section)  (Otherwise, Simply Leave This Section Blank) - Photo Print Sizes & Pricing Guide Quantity 1 2 3 4 5 6 7 8 9 10 Select Photo Print Size or Digital Copy ----------------------------- 8x10 - $40 8.5x11 - $40 10x13 - $45 11x14 - $50 11x17 - $55 12x16 - $55 12x18 - $60 13x19 - $65 16x20 - $80 16x24 - $85 18x24 - $85 24x36 - $120 High Res. Email Photo : $100 Sized Down Email Photo : $40 Photo Number: - Where Do I Find My Photo Number? Race Date(s): - Race Date(s) Example Track or Event Name: - Race Track / Event Name Example Brief Description of the Photo: - Brief Description Example

More Photo(s) Being Ordered: (Use Only If Ordering More Than Allowed In The Above Section)  (Otherwise, Simply Leave This Section Blank) - Photo Print Sizes & Pricing Guide Quantity 1 2 3 4 5 6 7 8 9 10 Select Photo Print Size or Digital Copy ----------------------------- 8x10 - $40 8.5x11 - $40 10x13 - $45 11x14 - $50 11x17 - $55 12x16 - $55 12x18 - $60 13x19 - $65 16x20 - $80 16x24 - $85 18x24 - $85 24x36 - $120 High Res. Email Photo : $100 Sized Down Email Photo : $40 Photo Number: - Where Do I Find My Photo Number? Race Date(s): - Race Date(s) Example Track or Event Name: - Race Track / Event Name Example Brief Description of the Photo: - Brief Description Example

* Name On Credit Card: Exactly As It Appears

* Credit Card Number:

* Card Exp. Date: Ex. 07 / 2013

* CVV Security Code: 3 Digits on the Back

* Billing ZIP Code Verification: The Billing Address ZIP Code Associated With Your Card

YOU MUST ADD IN THE SHIPPING & HANDLING FEE ALONG WITH YOUR ORDER TOTAL If you do not, we will by default... Photo Order Total: Add This Amount for Shipping & Handling Fee If Your Photo Order falls on or Between: $40- $99 add $8.00 If Your Photo Order falls on or Between: $100 - $199 add $12.00 - How Do I Obtain My Order Total?

* Order Total: Total Charge Placed (including Shipping & Handling)

- By Submitting This Form, You Agree To These Terms and Conditions

- Please Note: If you see a screen after you click "Submit" showing an error or page cannot be displayed, simply click your browser back button and resubmit the online form until you see the "Conformation Page". Your card will not be processed or charged until you see the "Confirmation Page". Thank you!