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Satisfaction guaranteed - Your money back for items returned within 15 days. Please allow 4 to 6 weeks for delivery.

Contact Information:

This information will only be used to contact you regarding your order.

Name:

Address:

Address 2:

City, State, ZIP:

Daytime Phone:

E-mail:

Shipping Information

When ordering for delivery to more than one location, please attach additional ship-to addresses.

Name:

Address: (no Post Office boxes)

Address 2:

City, State, ZIP:

Ordering Information

	QTY.	Amount
Torgersen Hall Print @ $50.00 each		$
Lane Stadium Print @ $50.00 each		$
War Memorial Chapel Print @ $50.00 each		$
War Memorial Pylons Print @ $50.00 each		$
Lane Hall Print @ $50.00 each		$
Burruss Tower Print @ $50.00 each		$
Hillcrest Print @ $50.00 each		$
Patton-Hall Print @ $50.00 each		$
Torgersen Hall Print @ $50.00 each		$
Virginia residents add 5.0% sales tax ($2.50 per print) Allow up to 4 weeks for delivery.		$
Shipping @ $5.00 per print		$
Total Amount		$

Payment Method

Check payable to: "Virginia Tech Alumni Association." (mail in orders only!)
Visa
MasterCard
Discover Card
American Express

Name, as it appears on card

Card number

Expiration Date

Signature

To submit your order, fill in the information requested above, print the form, and mail to:

Virginia Tech Alumni Association
Attn: Merchandise
Holtzman Alumni Center (0102)
Blacksburg, VA 24061

Fax: 540/231-3039 (Credit card orders only!)