CAR DECAL

ORDER FORM

NAME: ___________________________________________

PHONE:__________________________________________

ADDRESS:________________________________________

HOMEROOM TEACHER: ____________________________

DECAL#______ NAME ON DECAL ______________________________

NAME OF SCHOOL___________________________________________

DECAL#______ NAME ON DECAL ______________________________

NAME OF SCHOOL___________________________________________

DECAL#______ NAME ON DECAL ______________________________

NAME OF SCHOOL___________________________________________

TOTAL # OF DECALS_________ @ $8.00 EACH = $__________

FOR SCHOOL NAME PLEASE PUT WHETHER YOU WANT SOUTHAVEN OR CHARGERS

TOTAL ORDER = _________

CASH OR CHECKS PAYABLE TO: SOUTHAVEN BAND BOOSTERS

ORDER WILL BE READY IN APPROX. 1 WEEK.

THANK YOU FOR SUPPORTING OUR BAND!