Please provide the following information for your Sign-In Book order. We will contact you to confirm your order and arrange payment:

PRICE: $195 + $20 Shipping (MA residents only add 6.25% Sales Tax)

	Name
	Nickname
	Event
	Event Date
	Street Address
	Address (cont.)
	City
	State/Province
	Zip/Postal Code
	Country
	Home Phone
	FAX
	E-mail
	Hometown/School
	Favorite Expression
	Background Choice
	Choose 5 of the following art elements:
	Favorite Sport
	Special Activity
	Most Loved Food
	Favorite Music
	Favorite TV Show
	Special Hobby
	Most Loved Book
	Favorite Movie
	Choose 1 of the following categories:
	Camp
	Team
	Store
	Restaurant
	Magazine
	Vacation Spot
	or send us a photo of your family or pet to include.
	PLEASE SEND A GOOD QUALITY PHOTO OF YOUR HEAD!