I do sports part time for the Advertiser/Twin Valley News/Lewisburg Leader. From time to time I get requests for a print of a picture. If you have a picture that you would like to order, please fill out the following and submit payment. Any questions, please email using the link at the bottom of the page. If you would like a picture transferred to a coffee mug/t shirt/sweat shirt contact me for pricing.

Prints are transferred from digital to quality film.

Instructions: Print out this form using your internet browsers print button. Fill in the blanks, calculate the total cost, and mail along with a check or money order. Allow 2-3 weeks for delivery.

Name: ___________________________________________

Street Address: _______________________________________________

City/State/Zip: _______________________________________________

Phone or email so that you can be contacted if there is a problem:



Size of Picture.

Cost per Picture








Description/date/issue of picture.

Picture Size (4X6,5X7,8X10)


Cost per picture:


Total: Quantity X Cost































Grand Total Add $1.50 for postage -






Mail to:

J. C. Tilton

3539 Aukerman Creek Rd.

Camden, OH 45311

email: Chris Tilton