Order Form for WCHS Merchandise
Qty____  Class Picture Book Years 1909 Through 1961  Each $10.00  Total     _______

Qty____  Sand Blasted Mug                                                Each $25.00  Total     _______
                                  Please Specify Class Year________

Qty____  1963-64 Band CD                                                  Each $5.00   Total     _______

Ship To:                               Date:      /       /

Name:____________________________________

Street____________________________________

City/State/Zip______________________________

Phone____________________________________

Email address______________________________

Merchandise Total      _______

If order is $10 or less add $2 s/h
If more than $10 add $4 s/h
If $50 or more free shipping

Shipping Amount         _______

Total Amount                 _______

Check No:_________

Send Order To:
Steve Shade
Shade & Associates
2718 Wayne Ave
Dayton, OH 45420

Make Checks Payable To:      West Carrollton Alumni Association

Questions?
Steve   937-252-6293
sfshade@ameritech.net