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Valentine's Chocolate Bar Order Form
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* Indicates required question
Your Name
*
Your answer
Your Email Address
*
Your answer
Name of North Point Student or Staff Member
*
Your answer
Grade of Student (or put "staff")
*
Your answer
Number of Dark Chocolate Bars
Your answer
Number of Dark Chocolate with Himalayan Sea Salt Bars
Your answer
Number of Milk Chocolate Bars
Your answer
Number of Milk Chocolate with Crispy Rice Bars
Your answer
I will pay for my order by:
*
Cheque (Make cheque payable to North Point School)
E-transfer to djackson@northpoint.school (include student name AND "Chocolate Fundraiser" in the memo)
Cash
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