2015 Pelham High School Graduation DVD

Order Form
In an effort to help you remember a very momentous day in your life, Pelham High
School will be filming graduation on Thursday, May 21, 2015. A professionally
produced DVD is available for purchase for $15.00. DVDs will be mailed to all
students or family members who place an order.
THIS FORM AND THE FULL PAYMENT MUST BE TURNED IN BY FRIDAY, MAY
22, 2015. NO DVD ORDER FORMS WILL BE AVAILABLE AT GRADUATION.
ANY DVDS ORDERED AFTER MAY 22, 2015, WILL COST $25.00.

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Graduating Students Name:

____________________________________________________________
Address DVD should be mailed to:
Street: __________________________________________________________________
City: _________________________________
Zip:____________

State: _______

_________ (Quantity) DVD @ $15 each

=__________________
Total Amount Enclosed
=__________________

Payment may be made with cash or check. Please make checks payable to
Pelham High School, and allow 2-3 weeks for delivery. (ALL CHECKS
MUST HAVE 2 PHONE NUMBERS LISTED)