SeaScape Center
Graduation items order form 
Please fill out form then print and mail order form along with check or money order payable to:
Seascape Center
P.O. Box 1014
Thousand Oaks, CA  91358
Full Name
Address
Phone #
Student #
Email
(For Order Confirmation)
Graduation Buddy Bear $ 24.95
Check here:
If paying by credit card:
MC
Visa
Discover
#
Expiration Date:
Amount $
Name on Card :
Signature :
Date: