Bobashela - Yearbook Order Form

 

Classification

Student      Department
Parent        Faculty/Staff
Other

 

Recipient Information

First Name:    Last Name:

Student ID #    Faculty ID #

 

Contact Information

Phone:   Cell:

Millsaps Email Address:

Other Email Address:

Please provide the address you would like your yearbook shipped to when it is printed in the fall of 2014: 

Street Address:

City:   State:   Zip Code:

 

Ordering

Number of 2013-2014 Bobashelas @ $75 each

Previous years:

Number of 2011-2012 Bobashelas @ $80 each

Number of 2012-2013 Bobashelas @ $80 each

Some Bobashelas from years past are available for purchase @ $80 each.

Number of former Bobashelas @ $80 each

Year(s) of Bobashelas requested

Total amount to be charged

 

Payment

Bill my credit/debit card

I wish to order for the school year indicated above. I understand that the current year book will not be delivered until the following fall. By checking the box in the Authorization section below, I authorize the Business Office to bill this amount to the credit/debit card listed.

Debit Card Visa MasterCard Discover

Card Number: Expiration Date:

Name on the card:

Credit card security code (3 digit number on back of card):

Pay by check

I wish to order for the school year indicated above.I understand that the current year book will not be delivered until the following fall.

Please print this form. You may mail your completed form along with your check to:

Yearbook Order, Millsaps College
P.O. Box 151063
1701 North State St.
Jackson, MS 39210

Bill my Millsaps department account

I wish to order for the school year indicated above. I understand that this book will not be delivered until the following fall. By checking the box in the Authorization section below, I authorize the Business Office to bill this amount to the account listed.

Department:

Account Number:

 

Billing Address

Please provide a billing address if different from your Recipient Address above.

First Name:   Last Name:

Address:   

City:   State:   ZIP Code:

Phone:  Cell:

 

Authorization

Yes, I accept the charges listed above for my order of the current issue of the Bobashela.

.

 

 

© 2014 Millsaps College | 1701 North State St. | Jackson, MS 39210 | 601.974.1000 or 800.352.1050