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

All orders must be received by December 5 in order to be completed in time for the holidays.

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 one @ $50.00 each		$
Torgersen Hall Print two @ $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		$
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

Credit card payments can be made by phone or by mailing the form (address information below):

Name, as it appears on card

Card number

Expiration Date

Signature

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

Virginia Tech Alumni Association
Attn: Laura Snelgrove
Holtzman Alumni Center (0102)
901 Price's Fork Road
Blacksburg, VA 24061

Phone: 540/231-6285