Page 4 - Farm To Table Fundraising

PLEASE USE A BALLPOINT PEN OR PENCIL TO FILL OUT FORM · PLEASE USE A BALLPOINT PEN OR PENCIL TO FILL OUT FORM
Seller’s Name & Phone Number Seller’s Email Address
Group / Organization
Please Make Checks Payable To Teacher / Leader’s Name Products Will Be Delivered On Distribution Time
Prize Award (If Applicable)
CUSTOMER NAME / ADDRESS / PHONE
$20 Varieties 1 Gallon
Resealable Bags
Buttery Caramel
TOTAL ALL ITEMS CAREFULLY!
F800
F800 F803 F804 F805 F820 F824
QTY QTY QTY
QTY QTY QTY TOTAL DUE
PAID
John Smith / 123 Main St. / 000-000-0000 2 EXAMPLE 1 $60.00
✔
Cheddar Jalapeño
F803
Chicago Style
F804
White Cheddar
F805
Three Cheese
F820
F800 F803 F804 F805 F820 F824 $ QTY Grand Total
TOTAL NUMBER AMOUNT $ OF ITEMS SOLD ENCLOSED
TOTAL DUE
Vanilla Gourmet
F824
Buttery Caramel Cheddar Jalapeño Chicago Style White Cheddar Three Cheese Vanilla Gourmet
$20.00 $20.00 $20.00 $20.00 $20.00 $20.00