PHS BAND BUTTONS

ORDER FORM

Parent Name:_____________________________________________________________

Parent Phone #s:__________________________________________________________

Student Name(s):_________________________________________________________

Ensemble Uniform for Picture:

____Marching Band ____Symphonic Band ____Wind Ensemble

____Jazz Ensemble ____Pep Band ____Other (specify)

_________________

Requested Date/Event/Location for Picture:

Note: We will make every attempt to meet your request

Cost:

$7/Button (2 ¼ inch size)

____Cash ____Check (Make checks payable to PHS Band)

Return this order form with payment to the PHS Band Office.