PLEASE FILL OUT & RETURN TO THE HIGH SCHOOL OFFICE

NAME / BUSINESS:

_________________________________________________________
(as you want it printed in the Monarch programs)

ADDRESS:

_________________________________________________________
CIRCLE ONE:
Option 1 - $150   2 - $75 Option 3 - $30 Option
 Purple/Gold Club - $45
Make checks payable to Monarch Booster Club and mail this form along with your check to Booster Club Drive, Denison High School Office, c/o Darel Bernholtz, 819 North 16th Street, Denison, IA 51442. (If you need more forms you may copy this form or write complete information on another sheet of paper.)

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