West Carrollton Class 65  Pirate Store        Order Form
	Name
	Street
	City/State/Zip
	Phone
	Date       /       /			Print Form
	Qty	Item	Description	Price Ea	Ext Price
		1	West Carrollton Band CD	$3.00
		2	Megacity 1410 JA Company CD	$3.00
		3	Digital CD ROM of 35th Reunion Pictures	$5.00
		4	VHS Video Tape of 30th & 35th Reunion	$5.00
		5	8X10 Group Picture from 35th Reunion	$13.00
		6	Sand Blasted Commemorative Mug	$15.00
		7	35th Reunion Cap	$3.50
		8	Photocopy of 65 Senior Edition Pirate's Log	$2.50
			Add flat UPS/Mail charge for any size order		$3.50
			Total
			Make Check Payable to:  West Carrollton Class 65/Carol Foltz
	Send Order &		West Carrollton Class 65 C/O Steve Shade
	Payment To:		Shade & Associates
			2718 Wayne Ave
			Dayton, OH 45420
	8/4/00		937-252-6293         937-252-6104 FAX