WEST ORANGE HS CLASS OF 2023 NHS “Tassel & Stole” ORDER FORM

The Deadline is January 31, 2012

STUDENT NAME ______________________________________________

ADDRESS_________________________________________________________________
STREET CITY STATE ZIP

PHONE # ___________________________ E-MAIL _________________________________

CUSTOM NHS TASSEL & STOLE - $32.00

(Price Includes Tax & Handling)
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ORDER DATE: January 10 during the NHS meeting in the Auditorium

PAYMENT OPTIONS: CASH OR MONEY ORDER ARE THE ONLY FORMS

OF PAYMENT ACCEPTED FOR NHS ORDERS

TOTAL PAID $ _________________ CASH MONEY ORDER

MONEY ORDER # ____________________________________

SEND ORDERS WITH FULL PAYMENTS TO:

PO Box 536159 ~ Orlando, FL ~ 32853 PHONE: (407) 894-3131