WEBSTER GROVES 2017 STATE BASKETBALL RINGS
PLEASE COMPLETE AS MUCH AS POSSIBLE BY Tuesday, 4/11 (Sizing at school on Tuesday)
If you miss us at school on Tuesday 4/11 please contact Ashley to schedule an appointment. 314-961-8875
Office Location 9804 Manchester Road in Rock Hill, MO 63119
Shown in yellow lustrium satin finish
Shown in white lustrium antique finish
PLEASE COMPLETE ORDERS BY WEDNESDAY 12/16
First Name
Your answer
Last Name
Your answer
Street address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Phone
Please provide your cell NUMBER AND the PROVIDER you have cell SERVICE with (eg. ATT, SPRINT etc.)
Your answer
Ring size
will be completed at school or my office
Your answer
Billing email address
Parents email
Your answer
Metal Choice
NAME ON THE SIDE OF THE RING
Usually your last name (12 characters max)
Your answer
Abbreviation of your position
6 characters max
Your answer
ENGRAVING ON INSIDE OF THE RING
Usually your full name
Your answer
Payment Choices
Payment Information
Check #
Your answer
Name on Credit Card
Your answer
Credit Card Number
All card records will be destroyed after processing
Your answer
Credit Card Expiration Date
Your answer
CVV Code
3 digits on the back of the card
Your answer
Submit
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