ORDER FORM FOR SENIOR TRIBUTES

NAME OF PARENT: ____________________________

NAME OF STUDENT: ___________________________

CIRCLE WHICH SIZE YOU WOULD LIKE: 1/8 page ¼ page ½ page Full page

Please write text you would like included in your tribute: ______________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

In the box below, draw a sketch of the tribute so that we

can copy it as close as possible. Due to space and design,

we cannot assure that the final layout will be EXACTLY

as you indicate below.

		Contact Information (email and phone number):
	INSTRUCTIONS: Complete this form and return it and your payment to the below address: Spotswood HS Attn: Debbie Pugh 368 Blazer Dr. Penn Laird, VA 22846

DEADLINE: POSTMASKED OR RECEIVED BY FEB 5TH

1/8 Page Senior Tribute - $80

DIMENSIONS OF TRIBUTE:

3.75” wide X 2.25” height

¼ Page Senior Tribute - $100

DIMENSIONS OF TRIBUTE:

5” wide x 4” height OR
4” wide x 5” height

1/2 Page Senior Tribute - $170

DIMENSIONS OF TRIBUTE:

7.75” wide x 4.75” height or
4.75” wide x 7.75” height

Full Page Senior Tribute - $300

DIMENSIONS OF TRIBUTE:

7.75” wide x 10.25” height