SEPTEMBER, 2010 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
MONDAY - 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 online or in person.
On-site orders Due: Sunday, September 19 - NOON
Pick Up Day:
NAME: ________________________________________________________________________________
PHONE: ______________________ E-MAIL: _________________________________________________
STREET ADDRESS: _________________________________________________ZIP CODE: __________
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BIT-O-BLESSING BOX________X21.00=________ SIGNATURE BOX ________ X $31.00 = ________ BOUNTIFUL BLESSING BOX________X41.00=________ FAST & FLAVORFUL CUISINE ________ X $28.00 = ________ AFTER SCHOOL BOX _______ X $23.00 = ________
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SPECIAL #1 ________ X $25.00 = ________ SPECIAL #2 ________ X $22.00 = ________ SPECIAL #3 ________ X $23.00 = ________ |
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TOTAL _____________ Method of payment: ____________________________ |
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*Please make checks payable to: FAITH UNITED CHURCH
with "AFM" written on the memo line.