Buckeye Girls State Interactive DVD Yearbook Order Form
An interactive digital approach to the traditional yearbook offering a unique way
to look back at your 2015 Buckeye Girls State experience
including your City picture.
If you are interested in purchasing the DVD Yearbook prior to the session, complete this form
and return by June 1, 2015 in the large self-addressed envelope (Delegates) contained in this
packet. You may also place your order during the session.
(Staff) Mail order form and check to:
American Legion Auxiliary, Buckeye Girls State, PO Box 2760, Zanesville, Ohio 43702-2760
Cost: $12.00
Cash or Check
(Please make checks payable to “Buckeye Girls State”)
Payment is due at time of order, regardless of whether you order before, during or after the session
Please note: The Interactive DVD Yearbook will be mailed
8-10 weeks after the close of Buckeye Girls State
(Please type or print clearly)
You are (check one):
Quantity Ordered:
Delegate
Amount: $
Staff
Cash
Delegate/Staff Name
Check
Check #:
Email
First
Last
Address
Street, Apt, PO Box
Home Phone (
City
)
Cell Phone (
ZIP + 4
)
For BGS Staff Use Only
Payment Received:
/
/
/
Check
Check #:
Check
Check #:
Name
For BGS Staff Use Only (as receipt)
Payment Received:
Type: Cash
/
Type: Cash