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)

Return Address Labels $ 14.75
Pre-printed address labels. Set of 50

*
Your Name Enter your full name (i.e., Steven Alexander Smith, III) exactly as you would like it to appear on your product. Printing is case sensitive

(Max 35 characters)

*
Address Line 1 Enter line 1 of your STREET address.
(Max 27 characters)

Address Line 2 Enter line 2 of your STREET address (Optional).
(Max 27 characters)

*
City Enter your City
(Max 18 characters)

*
State Code Enter your State Code
(Max 2 characters)

*
Postal Code Enter your Postal Code
(Max 5 characters)

If paying by credit card:

MC Visa Discover # Expiration Date: Amount $

Name on Card : Signature : Date: