Order Form

CCHS Wall of Fame

Beginning January 5, 2010 those interested in the individual athletic Wall of Fame pictures at Columbia City High School may go to the athletic office and pick up the individual picture(s) they are interested in owning for a donation.  There will not be a set amount on the donation for the picture(s).  The individual pictures will be offered first to the respective individual and then their family.

Order forms will also be available for ordering a copy of the Fall, Winter and Spring CD’s with all current pictures on them for their respective season(s).  The cost for the CD’s will be $ 5 each or the 3 CD set for $ 12.

ORDER FORM

I/we would like to order the following:

            #            CD                                                      PRICE            TOTAL

            ___            Fall CD                                              $ 5                  $_____

            ___            Winter CD                                         $ 5                    _____

            ___            Spring CD                                         $ 5                    _____

            ___            3 CD Set (Fall, Winter, & Spring)   $ 12                     _____

                                                                        TOTAL OWED              $  _____

(Make checks payable to CCHS)

Name ___________________________

Address ________________________________________________

Phone # ________________________________________________