Picture Day Special — Jerry Perdomo Media

Please complete the fields below once your purchase has been completed. This information is required in order to deliver your gallery.

Athlete's Name

First Name

Last Name

Team/Squad

Jersey Number

Parent's Name

First Name

Last Name

Parent's Email

Parent's Phone

(###)

###

####

Comments, Questions, Concerns

Payment Type

Credit/Debt

Cash App

Venmo

Cash

Check