SEPTEMBER, 2008 ORDER FORM

INSTRUCTIONS: To place an order print this form, fill it out, and mail it, or bring it to FAITH UNITED CHURCH at
the address below. Orders can be placed on SUNDAYS, before or after Worship, and TUESDAY - FRIDAY,
10am - 5pm. ORDERS MUST BE RECEIVED BY THE DUE DATE! Faith United Church is NOT responsible
for orders that are mailed, but do not arrive by the due date. Orders must be picked up on the Pick Up Day,
during pick up times. Payment can be in the form of cash, a check payable to Faith United Church, or an EBT card.
*EBT orders MUST be placed in person.
Orders Due: Sunday, September 14 - NOON    Pick Up Day:
Saturday, September 27, 12:00noon – 12:30pm
*PLEASE BRING A LARGE CONTAINER (box, bin, laundry basket, etc.) WITH YOU TO THE PICK-UP!

NAME: _________________________________________________________

PHONE: ________________________________________________________

     BASIC BOXE(S) ________ X $30.00 = ________

    SENIOR BOXE(S) ________ X $25.00 = ________

        SPECIAL #1 ________ X $20.00 = ________

        SPECIAL #2 ________ X $20.00 = ________

        SPECIAL #3 ________ X $20.00 = ________

        SPECIAL #4 ________ X $20.00 = ________

        SPECIAL #5 ________ X $19.00 = ________
 

                              TOTAL ________

Method of payment: ____________________________

*Please make checks payable to: FAITH UNITED CHURCH with "AFM" written on the memo line.
Orders not picked up by 12:30pm will be considered donations to a family in need.
*PLEASE BRING A LARGE CONTAINER (box, bin, laundry basket, etc.) WITH YOU TO THE PICK-UP!

FAITH UNITED CHURCH   1116 W. Hill Rd. - Flint MI 48507  (810)238-2529    www.faithunitedgb.org