PHS BAND PICTURE

ORDER FORM

Parent Name:_____________________________________________________________

Parent Phone #s:__________________________________________________________

Student Name(s):_________________________________________________________

Picture Name*

Size

Cost per picture

Number

Total Cost

* Pictures can be found on the web site at www.patuxentband.com

Cost:

Size	Cost
8 X 10	$10
5 X 7	$5
3 ½ X 5	$2
2 ¼ Button	$7

____Cash ____Check (Make checks payable to PHS Band)

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