| "Thinking
of You" Order Form | ||||||||||||||||||||||||||
|
Please
print this form and send it with your check or money order enclosed to: Your Name: | Address: | Phone: | E-mail (most frequented): | Students Name: | Address (OCMR): | Campus Phone: | E-mail (most frequented): | |
| Box |
Quantity |
Distribution Date |
Price (6 3/4% tax included) |
Subtotal |
| # 1 Welcome Box | $38.25 | |||
| # 2 Study Break Box | $42.50 | |||
| # 3 Gift Box | $42.50 | |||
| # 4 Birthday Celebration | $42.50 | |||
| # 5 Get Well Box | $38.25 | |||
| # 6 Design Your Own Box | Quoted | |||
|
Total |
||||
| Vegan goods are available. | |
| _____ Vegan | _____ Vegetarian |
| For study box only: coffee or tea | |
| Choice of Cake: | Choice of Icing: |
| _____ Chocolate | _____ Chocolate |
| _____ White | _____ Vanilla |
| _____ Carrot | _____ Cream Cheese |
SPECIAL CONSIDERATIONS:
___________________________________________________________________________________________
___________________________________________________________________________________________
Special Message:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Last updated: 8/4/08