THANKSGIVING PIE FUND-RAISER PRE-ORDER FORM
Pie Pickup Thurs. or Fri. Nov. 19 or 20
Noon to 4 p.m.
Unity Hospital Main Concourse
Ap
Cran ple Cru
mb,
a ppl
e
P um
Wal
nut,
p
r
k
o
i
f
n
u
$
P eca
16,
yo !!!
k
n
n
$
r
17
Tha r orde
yo u
Pre-order forms must be received by the Park Ridge Auxiliary office by
Friday, Oct. 30 (no late orders taken).
E-mail OR fax form to:
Mail OR drop off form to:
[email protected]
Park Ridge Auxiliary
Fax: 723-7835
1555 Long Pond Rd.
(No phone orders please)
Rochester, NY 14626
Pies are fully baked and frozen for pick-up…..
Cash, check or credit card payment accepted at time of pie pick-up.
Please do not send in payment with your order.
Sponsored by the Park Ridge Auxiliary. Proceeds benefit patient care!
Please keep top portion with your recorded order, return bottom portion to Auxiliary.
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Customer Contact Information
(PLEASE PRINT)
Name:_______________________________
Phone No.: ___________________________
Pick-up Date & Time ___________________
Apple Crumb
$16
__________
Cranapple
Walnut
$16
________
Pumpkin
$16
______
Pecan
$17
_____
Quantity
Total
______
Total
$
______