To order your yearbook, please complete the following information:

 

____________________________________________________

NAME (PLEASE PRINT)

____________________________________________________

HOMEROOM TEACHER

If you wish to personalize your yearbook with a Name Plate, please print your name as you would like it

to appear on the line below.  There is an additional charge of $5.00 for the Name Plate.

___________________________________________________

 

Return this order form with a check for the amount shown below by NOVEMBER 30, 2009.

Please make your check out to Brunswick Academy.

I want to order:  (check one)

                        Yearbook  ($65.00)

                        Yearbook + Name Plate ($70.00)