2018 Senior Ads Reflector
Please fill out this form to purchase a senior ad in the 2018 yearbook. The ad (photos and writing) with payment are due to the staff by Oct. 17 either in room A229 or the main office. Checks made payable to LSHS. Thank you.
Email address
1. Student: Last, First name
2. Parent: Last, First name
3. Daytime phone number?
4. Number (local number)
5. How submitting photographs to ad?
6. If submitting actual photographs, how many?
7.Please choose ad size:
8. Is this ad a surprise for your senior?
9. If the staff is designing your ad, would you like to see a mock up of the ad? The time frame would be November/December.
10. Please give the staff a current email address that will be checked on a regular basis if it is different from the email collected.
11. Once we receive your ad with payment, would you like a photo of the receipt sent to your email address?
12. Please give a current email address if it is different from the email collected.
Please complete the captcha before submitting the form.
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