| ITEM | PRICE | QUANTITY | TOTAL |
| MEMORY BOOK - includes
Then & Now CD
(Offer expires December 31, 2008) |
$8.00 | __________ |
__________ |
| PHS GRADUATION DVD (all regions)
(Offer expires December 31, 2008) |
$10.00 | __________ |
__________ |
| SUBTOTAL: | __________ |
||
| ADDITIONAL DONATION TO THE REUNION: | __________ |
||
| GRAND TOTAL: | __________ |
| Name: | ________________________________________________________ |
| Address: | ________________________________________________________ |
| City, State, ZIP/Postal, Country: | ________________________________________________________ |
| Telephone Number: | ________________________________________________________ |
| Email Address: | ________________________________________________________ |