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Childs
Home
Phone
Parent
School:
Teacher:
Grade:
Delivery
Number
of
Children
Childs Birthday:
How Old Will Child Be:
Name:
Number:
Email:
in
Date:
Class:
8 oz. Water
Send order form and payment to your childs school cafeteria. Make check payable to
NASD Cafeteria Account. ONLY PREPAID ORDERS WILL BE FILLED and
delivered. No birthday baskets will be delivered on early dismissal days. Orders must
be received at least 2 weeks in advance.
Payment Due:
X $1.50 =
(# of children)
(payment due)
Please inquire on number of students in your childs class before orderingNO refunds will
be made.