United High School

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

United High School
Yearbook and Graduation DVD Order Form

YEARBOOK Order

Qty

Description

Amount

Total

Yearbook

$45.00

---

Personalize With My Name

$5.00

---

DVD Order

Pre-order your professional video DVD of the 2018 North Martin High School Graduation and we will mail it directly to you.

This is a perfect keepsake for your graduate and a fun gift for relatives who are not able to attend graduation.

Qty

Description

Amount

Total

DVD

$35.00

---

(includes tax, shipping to anywhere in the U.S., and handling)

Total: $0.00

Yearbook Personalization

Student #1 Name:

Student #2 Name:

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Shipping Address (if different from Billing Address above)

Name:

Shipping Address:

Address 2:

City:

State:

Zip Code:

Test Payment Information (enter below)

Name on Card = test
Card Type = VISA
Card Number = 4222222222222 (4 followed by 12 twos)
CSC = 123
Exp Date = 10/20

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *

United High SchoolYearbook and Graduation DVD Order Form

United High School
Yearbook and Graduation DVD Order Form