Senior Page Order Form 2021
By completing this form you are committing to purchase a senior page or partial senior page. You will need to provide pictures and any messages you would like to include and a deposit prior to December 11, 2020. A minimum of 50% deposit required by Dec. 11, 2020. Payment is due in full before March 11, 2021.
If you need to cancel or make changes to your order send an email to nicole.ford@polk-fl.net, you must do so before December 11, 2020. All sales are final at that time. Yearbooks will arrive in May 2021, before seniors graduate!
Senior's Last Name *
Senior's First Name *
Parent or Guardian's First and Last Name *
Is this page a surprise for the Senior? *
Required
What is the student's two favorite colors? *
Phone Number *
Email Address *
Mailing Address *
Include house number, street, city, state, and zip code. If your address changes, please email an update to nicole.ford@polk-fl.net.
What size ad would you like to purchase? *
Method of image submission *
Required
Method of Payment *
50% Deposit required by December 11, 2020. All payments are DUE in full by March 11, 2021.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy