GOODFELLOW PS FUN LUNCH ORDER #2

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PLEASE RETURN FORM NO LATER THEN: Fri November 21, 2014

Week 1 - November 28
DOMINO'S

Quantity

Week 4 - December 19

Price

Total

DOMINO'S

Quantity

Price

Total

Pepperoni Slice

$2.50

Pepperoni Slice

$2.50

Cheese Slice

$2.00

Cheese Slice

$2.00

Lay's Chips

$1.00

Lay's Chips

$1.00

Popcorn

$1.00

Popcorn

$1.00

Apple Juice Box

$0.50

Apple Juice Box

$0.50

Chocolate Cookie

$1.00

Chocolate Cookie

$1.00

TOTAL A= $

TOTAL A= $

COOKIES ARE PEANUT FREE AND BAKED

Week 2 - December 5
SUBWAY

Quantity

Week 5 - January 9

Price

Total

SUBWAY

Quantity

Price

Total

6" Veggie

$4.00

6" Veggie

$4.00

6" Ham

$4.50

6" Ham

$4.50

6" Salami

$4.50

6" Salami

$4.50

6" Turkey

$4.50

6" Turkey

$4.50

Lay's Chips

$1.00

Lay's Chips

$1.00

Popcorn

$1.00

Popcorn

$1.00

Apple Juice Box

$0.50

Apple Juice Box

$0.50

Chocolate Cookie

$1.00

Chocolate Cookie

$1.00

TOTAL D= $

TOTAL D= $

Week 3 - December 12
SOBEYS

Quantity

Week 6 - January 16

Price

Total

SOBEYS

Quantity

Price

Total

Chicken Wrap

$4.50

Chicken Wrap

$4.50

Lay's Chips

$1.00

Lay's Chips

$1.00

Popcorn

$1.00

Popcorn

$1.00

Apple Juice Box

$0.50

Apple Juice Box

$0.50

Chocolate Cookie

$1.00

Chocolate Cookie

$1.00

TOTAL F= $

TOTAL F= $
Paid by:

**NEW** Pay Online

TOTAL A+B+C+D+E+F= $

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