2015 Bolt Yearbook

Senior Recognition Ad Order Form

Express love or congratulations to the special people in your life by recognizing them in the
personal pages of the 2015 Bolt yearbook. Select the appropriate size belo an! personalize the
a! ith your on message an! photo"s#. $r!er forms must be returne! to the front office of
%entral &igh School or to 'atalie Bron in room S00(. )ayment must be ma!e in full* no cre!it
car!s accepte!. )lease inclu!e a self+a!!resse!* stampe! envelope to ensure the return of your
photos. All photos, messages and payment are due by Oct. 3, 2014 at 4 p.m. in room S009.
Stu!ent 'ame, ----------------------------------------------------------
)arent./uar!ian 'ame, ---------------------------------------------------
0!!ress, ---------------------------------------------------------------
&ome 1 %ell )hone 'umber, ----------------------------------------------
)arent Email 0!!ress, ----------------------------------------------------
2 oul! like to keep the a! a secret from my senior. -----3es -----'o
2 am inclu!ing ----- number of photos.
Please indicate hich photo you ould li!e to be prominently displayed on the ad.
2 oul! also like to purchase a yearbook at this time for 455. ---- 3es -----'o
"earboo! personali#ation is a$ailable %or a %ee i% purchased online at .&ostensyearboo!s.com
I would like to purchase:
(Please check one)

0! $nly Senior 0! 6 1 3earbook
--- 7ull )age 8 max 10 pictures --- 4950 --- 4:15
--- 1.2 page 8 max 5 pictures --- 41;5 --- 42:0
--- 1.: page 8 max 9 pictures --- 4100 --- 4155
%heck.money or!er ma!e out to %&S )ublications enclose! in the amount of 4------.
<he text 2 oul! like to inclu!e in my a! is as follos "you may attach a separate sheet#,