Valentine’s Day Pre-Order Form
Looking for the perfect Valentine’s Day gift? Brighten someone’s day with white roses or homemade treats
from Student Council. Please fill out the order form below and return it to the school office with payment
by Wednesday, February 10. (Cash or checks made out to DCS) Purchases will be delivered to
homerooms on Friday, February 12. Additional goodies will be available Friday at lunch.
From:
From:
To:
To:
Grade:
Grade:
Item
Qty
Cost
Item
Qty
Single Rose ($2 each)
Single Rose ($2 each)
1 Dozen Roses ($10)
1 Dozen Roses ($10)
Singing Telegram ($5)
Singing Telegram ($5)
Cupcake ($2 each)
Cupcake ($2 each)
6 cupcakes ($10)
6 cupcakes ($10)
Large brownie ($2)
Large brownie ($2)
Chocolate covered pretzel rods (4/$1)
Chocolate covered pretzel rods (4/$1)
Chocolate covered strawberries (2/$1)
Chocolate covered strawberries (2/$1)
1 Dozen Chocolate covered strawberries ($5)
1 Dozen Chocolate covered strawberries ($5)
Conversation heart sugar cookie ($1)
Conversation heart sugar cookie ($1)
Total Cost this Order:
** All orders come available with an attached personal message;
stop by the school office to fill one out
Cost
Total Cost this Order:
** All orders come available with an attached personal message;
stop by the school office to fill one out