2009 N.Y.S.S.C.A. YEARBOOK ORDER FORM
PLEASE PRINT THIS FORM AND MAIL TO THE ADDRESS BELOW
| NAME | ________________________________________________________ |
| ADDRESS | ________________________________________________________ |
| CITY | ________________________________________________________ |
| STATE | ________________________________________________________ |
| ZIP | ________________________________________________________ |
| PHONE # | ________________________________________________________ |
| TOTAL YEARBOOKS | _______________ |
| @ $ 5.00 EACH = | $_______________ |
| Plus Ship. & Hand. | _+_$3.00_______ |
| Total Enclosed | $_______________ |
PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO N.Y.S.S.C.A.
Mail to:
NYSSCA Yearbook
c/o Bonnie Mortensen
1027 Westline Road
Amsterdam, NY 12010