
Buy your BRUNSWICK ACADEMY Yearbook for only $65.00!
Order
OCTOBER 19 – NOVEMBER 30, 2009
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.
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I
want to order:
(check one)
Yearbook ($65.00)
Yearbook + Name Plate ($70.00)