School Name:
Adviser Name:
School Address:
City:
State:
Zip:
Adviser Address:
City:
State:
Zip:
School Phone:
Adviser Phone:
Adviser Email:
Jostens Rep:
Students Staying On Campus-
Advisers Staying On Campus-
Advisers On Campus (Prvt. Room)-
Students Commuting-
Advisers Commuting-
$280 Each
$225 Each
$350 Each
$185 Each
$185 Each
a $20 Late Fee Will Be Added If Submitted After June 10th, 2008
