WEBSTER GROVES 2018 STATE BASKETBALL RINGS
PLEASE COMPLETE AS MUCH AS POSSIBLE BY Tuesday, 4/4 (Sizing at school on Wednesday)
If you miss us at school on Tuesday 4/4 please contact Ashley to schedule an appointment. 314-961-8875
Office Location 9804 Manchester Road in Rock Hill, MO 63119
Shown in White Lustrium antique finish
Shown in Yellow Lustrium satin finish
First Name *
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Last Name *
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Street address *
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City *
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State *
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Zip *
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Phone *
Please provide your cell NUMBER AND the PROVIDER you have cell SERVICE with (eg. ATT, SPRINT etc.)
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Ring size
will be completed at school or my office
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Billing email address *
Parents email
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Metal Choice *
NAME ON THE SIDE OF THE RING *
Usually your last name (12 characters max)
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Jersey Number *
2 characters max
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ENGRAVING ON INSIDE OF THE RING *
Usually your full name
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Payment Choices *
Payment Information *
Check #
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Name on Credit Card
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Credit Card Number
All card records will be destroyed after processing
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Credit Card Expiration Date
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CVV Code
3 digits on the back of the card
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