(Please fill out completely and print clearly)
Ad Purchaser’s
Information:
Name ________________________________________________________
Phone # ( ) _________
- ______________
Address ______________________________________________________
_______________________________________________________
City
__________________________,
Ad Information:
Design # ________ Team Colors __________________________________
Team Mascot
__________________________________________________
To:
__________________________________________________________
_____________________________________________________________
From,
________________________________________________________
_____________________________________________________________
*Checks Payable to T.H.S.W.P.A.