MUM ORDER FORM

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MUM ORDER FORM Tiny: $30

(elementary only)

Boys Armband: $30

Girls Small: $40

Girls Large: $50

RenWeb Charge Form Must submit to homeroom teachers or front offices on or before: September 30, 2016 at 3:30 p.m. Student’s Full Name ________________________________________________________________ Grade _________________ Elementary Teacher _________________________________________________ Phone _________________________________ I, ___________________________________________, AGREE TO HAVE THE ABOVE NAMED STUDENT'S RENWEB ACCOUNT BILLED FOR THE TOTAL CHARGES LISTED BELOW AND WILL PAY THE AMOUNT DUE AS REQUIRED BY THE CCS CONTRACT AGREEMENT.

Signature:____________________________________________________ Date:________________________________ Item Name

Total Due $

Price

Elementary Teacher (for delivery)

Secondary students will pick-up orders in the gym during Spirit Week.

No cash accepted. Submit to homeroom teacher or front office no later than September 30. Questions? [email protected]