Jan - June Pizza Day Order Form

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Please indicate your pizza/seltzer orders for each week from January through June. We are not offering monthly or weekly orders but you may contact us if you need to make a change during this period.

If you have multiple children on the EC Wyckoff campus please complete a separate form for each child.

NOTE: Pizza Day is only made available due to our parent volunteers! We hope you will also volunteer and help with one of our many opportunities available. Thank you in advance for your support!

Email *

Student Name *

Student homeroom teacher *

Please make your pizza selection

1 slice ($2/week)

2 slices ($4/week)

3 slices ($6/week)

1/4 - NOT AVAILABLE

1/11 - NOT AVAILABLE

1/18

1/25

2/1

2/8

2/22

2/29

3/7

3/14

3/21

3/28 (no school gr 3-5)

4/11

4/18

4/25

5/2

5/9

5/16

5/23

5/30

6/6

Please make your drink selection

Watermelon Seltzer ($1/week)

Black Cherry Seltzer ($1/week)

Strawberry Seltzer ($1/week)

Lemon/Lime Seltzer ($1/week)

1/4 - NOT AVAILABLE

1/11 - NOT AVAILABLE

1/18

1/25

2/1

2/8

2/22

2/29

3/7

3/14

3/21

3/28 (no school grades 3-5)

4/11

4/18

4/25

5/2

5/9

5/16

5/23

5/30

6/6

Please enter your total cost. (tip: x21 if you selected all weeks, x20 if UES) *

Your name *

Payment Method (please select one) *

If you choose check/cash simply select that option. If you wish to pay with PayPal, please select that option and follow the link to the PayPal checkout site when prompted. When you checkout, please consider checking the box to add the PayPal fees.

NOTE: Although a form must be completed for each child, payments may be combined into a single check or PayPal payment per family.

Please make your full payment by Friday, January 5. However, we also understand there may be budgetary factors for families so to request breaking up your payments: select "Other" and then note your request such as "monthly" then make your payment for that month. Kindly remember to keep track and make your ongoing payments so we don't have to follow-up. Thank you!

PayPal or debit/credit card

Check (ECMS PTO)/Cash

Other:

A copy of your responses will be emailed to the address you provided.

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