Hot Lunch Order Form - Sd43
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1HOT LUNCH ORDER FORM
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You will be ordering Hot lunches for September 30
& October 21
and snack for October 29
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Please add total the hot lunch order and send in a Cheque payable to LPAC or exact cash. For
families with more than one child ordering hot lunch, feel free to send in one cheque. BUT, PLEASE
RETURN ORDER FORMS TO EACH CHILD’S TEACHER, just make a note on the bottom about
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payment. This order form is due back to the school by Friday September 17
PLEASE BE PROMPT!
Our hot dogs are made with chicken wieners
Note:
.
HOT DOG ORDER FOR September 30, 2010
______ 1 Hot Dog
@
$ 1.25 = ________
______ 2 Hot Dogs
@
$ 1.75 = ________
______chocolate chip cookie
@
$ .60 = ________
______ Vanilla Pudding
@
$ .60 = ________
______ Chocolate Pudding
@
$ .60 = ________
______ Salt & Vinegar Chips
@
$ .75 = ________
______ Bar-B-Que Chips
@
$ .75 = ________
______ Plain Chips
@
$ .75 = ________
______ Orange Juice
@
$ .60 = ________
______ Apple Juice
@
$ .60 = ________
______ White Milk
@
$ 1.00 = ________
______ Chocolate Milk
@
$ 1.00 = ________
Total:
$________
HOT DOG ORDER FOR October 21, 2010
______ 1 Hot Dog
@
$ 1.25 = ________
______ 2 Hot Dogs
@
$ 1.75 = ________
______chocolate chip cookie
@
$ .60 = ________
______ Vanilla Pudding
@
$ .60 = ________
______ Chocolate Pudding
@
$ .60 = ________
______ Salt & Vinegar Chips
@
$ .75 = ________
______ Bar-B-Que Chips
@
$ .75 = ________
______ Plain Chips
@
$ .75 = ________
______ Orange Juice
@
$ .60 = ________
______ Apple Juice
@
$ .60 = ________
______ White Milk
@
$ 1.00 = ________
______ Chocolate Milk
@
$ 1.00 = ________
Total:
$________
COOKIES & MILK DAY October 29, 2010
_________HALLOWEEN SUGAR COOKIE
@ $ . 65 = _______
_________ chocolate milk
@ $ 1.00 = _______
_________ white milk
@ $ 1.00 = _______
Total:
$________
TOTAL FOR TWO LUNCH AND ONE SNACK DAYS:
$___________
FIRST NAME: ___________________LAST NAME: ________________________
TEACHER: _______________________________ DIVISON:________________
Some families choose not to order hot lunch, and we are unable to check all the kids we don’t
receive orders from so to avoid disappointment, PLEASE return this order promptly.
We
purchase & prepare everything based on orders received.
We understand how much paperwork parents have in September and appreciate your efforts
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Friday Sept. 17
to get this returned by
.
Thank you
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