Please print a separate form for each order. All forms are to be turned in to Mrs. Schimmer or Breanna Major no later than Friday, February 6.
Flowers
Single Rose $3.00 __________
1/2 Dozen Roses $15.00 __________
1 Dozen Roses $24.00 __________
Various Gifts
Balloon $1.00 __________
Mylar Balloon $3.00 __________
Candy Bar $.75 __________
Runts Candy Bag $3.00 __________
Hugs/Kisses Bag $3.00 __________
Valentine Bear $5.00 __________
Sing-a-gram $5.00 __________
(indicate guys ensemble or girls ensemble)
Deluxe Valentine Package ______
$15.00 (includes three roses, three balloons and candy)
Special Instructions: ____________________________________
_______________________________________________________
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Total __________
TO: ____________________________________
FROM: _________________________________