The Sharpe Image NASCAR Stock Image Order Form
To purchase an image from The Sharpe Image,print and complete the following form and submit it by fax to (704) 655-0799 or snail mail to:
The Sharpe Image
16507 Grapperhall Dr.
Huntersville, N.C. 28078

Under no circumstance will The Sharpe Image release a photo to any company or person that is not liscenced by NASCAR or a direct client of an affiliates sponsor or team.
Client Registration
Company Name _________________________________________________________________
Contact Name ______________________________________ Title _______________________
Address _______________________________________________________________
City___________________________, State_______, Zip___________, Country_____________
Email Address __________________________________________________________________
Phone ___________________________________ Fax __________________________________
FedEx Account # ________________________
Other Carrier ____________________________   Account # ________________________
Company Type
Editorial (Check all that apply)   ____ Newspaper,    ____ Magazine,   ____ Book Publisher

Commercial (Check all that apply)   ____ Advertising Agency,   ____ Public Relations Agency,
____ Corporate Sponsor,   ____ Souvenir,   ____ Other (explain) _______________________________
NASCAR Licensed?  ______  (give name and # to verify) ______________________________________
Representing client?  ______  (give name and # to verify) ______________________________________
Stock Image ID #
(Circle One)
Stock Image ID #
(Circle One)
____________________
35MM or 8X10
____________________
35MM or 8X10
____________________
35MM or 8X10
____________________
35MM or 8X10
____________________
35MM or 8X10
____________________
35MM or 8X10
____________________
35MM or 8X10
____________________
35MM or 8X10
____________________
35MM or 8X10
____________________
35MM or 8X10
____________________
35MM or 8X10
____________________
35MM or 8X10
____________________
35MM or 8X10
____________________
35MM or 8X10
Requested Usage

________________________________________________________________________
________________________________________________________________________

Notice: There will be a $75.00 research fee if images are ordered and not used. Payments to be made c/o The Sharpe Image.

Signature: _______________________________________________  Date:  __________________