To Order a Custom License Plate: 
  1. Print out this order form.
  2. Fill out your personal information.
  3. Browse through the Dave Zortman Photo Gallery to select the photo you wish to use.
  4. Write down the file number of the photo.  (File number appears when you place your mouse cursor over the photo.)
  5. Mail your order and check or money order to:
    Dave Zortman
    85 Locust Grove Rd.
    York, PA  17402
  6. Please make checks payable to Dave Zortman.
Name:  
Address:  
City, State, Zip:  
Phone:  
Email:  
Photo Number:  
Delivery:

Circle One:       U.S. Mail                         Pickup at Track
Type:

Circle One:       Aluminum                      Fiberglass Reinforced Plastic
Quantity:  

x ($29.95 each)

 Sub total:

  
S&H: If choosing to have license plate mailed, add $3.99 for first plate, $1.99 each additional.  
Do not add S&H charges for orders picked up at track.		  
Order Total:

Please allow three weeks for delivery. 
Orders are not processed until personal checks clear.
IMPORTANT:  Be sure to double check your order very carefully.
***CUSTOM ITEMS ARE NOT RETURNABLE***
www.lap1photo.com