The Fall Choir Concert is being professionally recorded by

239-634-1459 • visualanties.zenfolio.com • bikemadley@gmail.com

Smoky Hill High School Fall Concert CD/DVD Order Form

You may order a CD and/or DVD of this performance by printing the information below and
returning this form to Mr. Techau by October 23, 2014.

QUANTITY ORDERED: ______ CDs @ $10 each

______ DVDs @ $10 each
______ CD/DVD combo @ $15 each set
TOTAL: $____________

STUDENT’S NAME ________________________________________________________________

PARENT OR GUARDIAN’S NAME ___________________________________________________

ADDRESS ________________________________________________________________________

CITY__________________ STATE____________ ZIP ____________ PHONE ________________

METHOD OF PAYMENT: CASH ____ (Make Checks Payable to SHHS Choir) CHECK # ________

The Fall Choir Concert is being professionally recorded by

239-634-1459 • visualanties.zenfolio.com • bikemadley@gmail.com

Smoky Hill High School Fall Concert CD/DVD Order Form

You may order a CD and/or DVD of this performance by printing the information below and
returning this form to Mr. Techau by October 23, 2014.

QUANTITY ORDERED: ______ CDs @ $10 each

______ DVDs @ $10 each
______ CD/DVD combo @ $15 each set
TOTAL: $____________

STUDENT’S NAME ________________________________________________________________

PARENT OR GUARDIAN’S NAME ___________________________________________________

ADDRESS ________________________________________________________________________

CITY__________________ STATE____________ ZIP ____________ PHONE ________________

METHOD OF PAYMENT: CASH ____ (Make Checks Payable to SHHS Choir) CHECK # ________