CELEBRATING MOMENTS THAT MATTER

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2016 Jostens, Inc. 160132A. ICON 1. ICON 2. ICON 3. ICON 4. 5015. 5240. 5982. 9050. 9042. 5023. 5255. 5258. 5241. 5242.
YEARBOOK CELEBRATING MOMENTS THAT MATTER

Simon Middle School

ORDER BY

12/16/16

Your 2017 yearbook is now on sale! Please return this completed form and your full payment to the school office. Checks must be made payable to Simon Middle School. You may also purchase online at www.jostensyearbooks.com. Sales tax will be charged on online orders.

1 SELECT YOUR PACKAGE

2 PUT YOUR NAME ON THE COVER Must purchase personalization.

3 ADD ICONS TO YOUR COVER    EACH $3.00

Must purchase personalization to add icons.

Enter 4 digit icon code from chart on the right into boxes provided above.

YEARBOOK

$25.00

SIGNATURE PACKAGE

$38.00

Includes Yearbook, 1 Line of Personalization, Color Autograph Section and 8 Multicolor Signing Markers

PERSONALIZATION Use the space below to personalize your cover. ( Must purchase personalization to customize.)

If you want to personalize your cover, and Personalization is not included in your package, please add the charge to your order below.

ICON 1

ICON 2

$5.00

ICON 3

ICON 4

5236

5278

5011

9050

5001

5005

5010

5591

5589

5583

5255

5366

5021

5379

5076

5238

5015

5002

5006

5130

5258

5363

9042

5256

5587

5582

5480

5177

5586

5240

5003

5008

5980

5241

5364

5588

5257

5018

9037

5581

5682

5019

5982

5004

5009

9007

5242

5590

5023

5012

5584

5585

See more icon options at www.jostens.com/ybicons

4 ENTER YOUR INFORMATION Student Name:_________________________________________________________________

TOTAL YOUR ORDER Enter Your Package Price Personalization Icon(s) ea. Autograph Section Clear Protective Cover Photo Pockets

$5.00 $3.00 x QTY

$2.50 $2.50 $2.50

Contact Email:_________________________________________________________________ Contact Phone: ________________________________________________________________ Homeroom:_____________________ ID#:_______________________ Grade:_____________ HANDLING FEE

N/A

SUBTOTAL Tax TOTAL

N/A

N/A

© 2016 Jostens, Inc. 160132A