Elementary Express Order Form

Elementary Express Order Form

(Deliveries September 17, 2010 through January 21, 2011)

Please circle: to be delivered to be picked up by parent

(only twice per year) (unlimited)

Name of student:

Teacher:

Date of delivery: Friday, ______(write in date)

Name of person ordering:

Phone number in case we have any questions:

Any special color/ instructions for flowers/ jungle animal/ teddy bear:

Message for note (INCLUDE WHO IT IS FROM):

Check our website for product description & quantities remaining: www.oleyvalleysd.org then staff search on left, then ponce under last name, search, click ponce,

Remember only 2 deliveries per student per year! Only open Sept – Jan!

PS - You can have multiple items in one delivery. We will assemble any items you buy into a nice arrangement.

Disclaimer: This is a student-run business. Snow days and/or other unforeseen circumstances may delay your order.

~over~

Item / Cost / Quantity / Amount
Balloons: foil
#1 Happy Birthday-yellow fireworks / $ 3.00
#2 Happy Birthday – stars & balloons / $ 3.00
#3 Thinking of You / $ 3.00
#4 Smiley / $ 3.00
#5 Congratulations / $ 3.00
#6 Thank you / $ 3.00
#7 Thanks for all you do / $ 3.00
#15 Frog – Hippity Hoppity Day / $ 3.00
# 17 You’re the Best / $ 3.00
Flowers:
Fountain Flowers / $ 7.00
“Mini” / $ 6.00
Vibrant Vase / $ 9.00
Vibrant Vase
with vase hugger jungle animal / $ 15.00
Stuffed Animals
Frog (7” sitting) / $ 6.50
Teddy Bear (10 “) / $ 6.50
Long-armed jungle animal (14”)
(Can be a vase hugger) / $ 6.00
School Supply Set
(limited quantity) / $ 8.00
Pencil (designs will vary) / $ 0.25
Notepad & Pencil (designs will vary) / $ 2.00
Total

Paid by (please circle): Check (payable to Elementary Express)

Cash (have exact change please)

Any questions, call 610-987-4100 ext 2063 or email

Return to elementary office or envelope on board in each homeroom

at least one full week before requested delivery date.

For official use only: Order Number ______