NAME PHONE E-MAIL PRODUCT Ornament * Coffee Mug * Keychain * Magnet * Photo Slate 1) Clara DESCRIPTION Round Porcelain

Ornament 15oz Coffee Mug Round Square Square Square Heart Rectangle Round

Orders due no later than NOV 15 ** Delivery between NOV 25-NOV 29 PRICE $10.00 $15.00 $6.00 $6.00 $25.00 5) Soldiers 6) Sugar Plum Fairy 12) Marzipan 18) Other Character Code QTY TOTAL

Rectangle great for cast photos! 3) Mouse King 9) Spanish 4) Mouse

Nutcracker Characters : Write character code next to corresponding item above. 2) The Nutcracker 8) Snowflakes 7) Snow Queen 13) Mother Ginger 10) Chinese 16) Christmas Trees 11) Russian 17) Angels

14) Flowers 15) Arabians

For custom smartphone and tablet cases contact The Whimsical Pig (315)773-3758 * If you would like your childs picture added to any of these items please speak to Shannon or Danielle or call The Whimsical Pig for pricing details. ** Orders will be accepted after Nov 15th, but will not be guaranteed by the listed delivery date. Will determine at time order is placed. Payment due when order is placed Students name: Year (only necessary if you are ordering for a previous year): To order please submit this form and payment to the dance studio office, Shannon Allen or Danielle Carman. To pay with your credit card see Shannon or Danielle. To view samples of our products please visit our Facebook page and look for the photo album labeled In Motion presents The Nutcracker 2013. A portion of the proceeds from this sale will be donated back to In Motion School of Dance. Subtotal Tax (7.75%) Total

Signature/Date