LeMarchant StThomas Papa Mario’s Pizza Order Sheet

DUE DATE:  Wednesday, January 11^th. No late orders accepted.

Please make cheques payable to LMSTS.

Child’s Name: ____________________________________________

Grade and Teacher: ________________________________________

Circle your choice

Cheese                              Veggie

Circle the dates you would like;

Jan 19            Feb 16            March 22

Jan 26            Feb 23            March 29

Feb 2              March 1          April 5

Feb 9              March 8          April 12

______ we want all dates

Total number of Pizzas ordered:_______ X $4.00 =  _________

Enclose your cheque or the exact amount in cash in an envelope with this order form.  Return to your child’s teacher on or before Wednesday, Jan 11, 2012 .