Madagascar Snack Pack Form

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This sale is in the support of a charity called Wild Rescue. Wild (Amy and Lise) is a nonprofit organisation and 100% of our profit is going to help this wonderful charity to preserve not only the Western Cape’s animals, but the flora as well.

Please pay the correct amount due on snapscan.

Email *

Record my email address with my response

SnapScan Code

What is your daughters name? *

What grade is your daughter in? *

Gr7

Gr6

Gr5

Gr4

What weeks would you like the snack pack for?

Tick all that apply.

5th of August

12th of August

19th of August

26th of August

2nd of September

9th of September

Required

Would you like to order the snack pack?

It costs: R 35 per week.

The snack pack includes:

- Lays Potato Chips

- A Mini Chicken/Cheese Pie

- A Mini Mentos Rainbow Roll

- And A Apple Juice

YES

What type of Mini pie would you like? *

Chicken

Cheese

Please pay the correct amount due on snapscan.

For 1 week it costs: R35

For any 2 weeks it costs: R70

For any 3 weeks it costs: R105

For any 4 weeks it costs: R140

For any 5 weeks it costs: R175

For all 6 weeks it costs: R210

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