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Adopt-A-Grad Campaign
Use this form to order yard poles to be delivered to a graduating senior/8th grader.
The Yard Poles cost $40, plus tax and delivery.
Please give us at least 72 hours (3 days) to fulfill your request.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Number of Yard Poles
*
Choose
1
2
3
4
5
6
7
8
9
10
Select a topper (choose all that apply)
*
Option #1
Option #2
Option #3
Option #4
Option #5
Option #6 (can be changed to your school colors)
Required
Latex Balloon School Colors (choose up tp 3 colors)
*
Your answer
Date to Deliver
*
MM
/
DD
/
YYYY
Time for Delivery
*
Time
:
AM
PM
Full Delivery Address
*
Your answer
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