2007 Stampede yearbook  @ $50.00 (This price is good Sept. 3-Dec. 31, 2006)

Type $50.00 in this box

NAME STAMPING ON COVER IS OPTIONAL AND AN ADDITIONAL COSTS

Type $5.00 in this box IF YOU WANT NAME STAMPING (no longer available after March 1, 2007)

Name you want stamped on the cover(21 character limit)

Order Information

Name of student for whom you are purchasing a yearbook

Grade level of student (9, 10, 11, 12)

Phone    Email

Complete mailing address

A receipt will be issued to the student for whom you are purchasing the yearbook unless you tell us otherwise

What type of payment (Master Card or Visa)?

Card Expiration Date Amount you want billed to credit card

An additional 7.75% convenience fee will be charged to your card when your credit card order is processed.

Name of Cardholder exactly as it appears on card

Credit Card Number

You may also order a yearbook by check, money order or cash by printing this order form and mailing, along with the payment, to the following address:

DHS Journalism - Attention Patricia Colston - P.O. Box 248 - Dayton, Texas 77535

Print this order form and send it to the address above or      Submit