FEBRUARY 14th 2017 VALENTINE-O-GRAM ORDER FORM
Your Name:___________________________ EMAIL:______________________________
PHONE:______________________________ CASH OR CHEQUE PAYABLE TO LYNN FRIPPS PAC
“You light up my day” Glow Stick # PURCHASED ________________x $1= ____________________
Carnation Flower (pink,red,white) # PURCHASED ________________x $2= ____________________
Heart Shaped Balloon on Stick
# PURCHASED ________________x $2=___ __________________
Small Animal Plush (assorted)
# PURCHASED ________________x $4= _____________________
TOTAL # PURCHASED___ ___________TOTAL $____________________
RECIPIENTS & SHORT MESSAGES (Eg: I hope you’re having a wonderful day. I love you! Mom xoxo)
RECIPIENT NAME:_______________________________ DIVISION/CLASS_______________________
ITEM_________________________________MESSAGE:____________________________________________
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RECIPIENT NAME:_______________________________ DIVISION/CLASS_______________________
ITEM_________________________________MESSAGE:____________________________________________
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Need more space? Just use the format above and write additional orders on blank paper. Be sure to include Recipient
Name, Div/Class, and the item to be delivered. For whole class orders, write ALL STUDENTS in the Recipient Name area.
They will all receive the same message. Please email [email protected] if you have questions or require assistance!