PELHAM SENIOR PRIMARY SCHOOL "MAKING A SPLASH AT PELHAM" PLAQUE ORDER FORM

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Pelham Senior Primary invites you to leave a lasting legacy at Pelham by purchasing a plague to be placed on the Pelham swimming pool wall.

The Plague will be manufactured from Silver Chromadek, available at a once off price of R250 each.

This fundraising effort in support of upgrading the Pelham Senior Primary School Pool and surrounds. Ie heating and starting blocks etc.

NB: Please make payment ONLY on receipt of the invoice. Use the invoice number as reference when making payment.

The Pelham family thanks you for your support in this fund raising effort.

Pelham Senior Primary School, MAKING EVERY CHILD A SWIMMER.

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Name of parent? *

Cell number of parent? *

Name of child/ren or family: Ex Joe soap or Joe and Amy Soap or Soap family. (max of 30 Characters(3 rows of 10 characters) *

Sports house? *

Grade? If not applicable then state year started to year ended. *

I accept, to only pay on receipt of invoice and using the invoice number as the reference. *

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