Drawstring Backpack Bag Order Form
One student order per form. For multiple students submit separate order.  Once form is submitted, the order can be picked up by student at school with payment . 

Payment Agreement.
Cost of Drawstring Backpack Bag $10 - dollars.
Make money orders payable to Queens Gateway to Health Sciences Secondary School. 
 *If cash (bills over $20.00 will not be accepted) Drawstring Backpack Bag will be picked up by student from Ms. Black.
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Student Name (First Name, Last Name) *
Parent Name (First Name, Last Name) *
Contact - Phone Number  *
Select Student Grade. *
Required
Queens Gateway Drawstring Backpack Bags *
Captionless Image
Required
Thank you for your order submission.
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