Braeside Bucks Order Form
 
Braeside Bucks Order Form page 2
  Name: ______________________________________________________________
  Home Address: _______________________________________________________
  Phone: _____________________________________
  Cell Phone: _________________________________
  Oldest Braeside Child: _______________________________Child's Teacher:____________________________
  Remember: Checks# are preferred. Braeside earns 2% less on credit card Charges
  Check: $ ___________ Check # _________ Make Check payable to BRAESIDE PTO, memo BUCKS
  Charge: Visa _______ Mastercard _______ (please check one)
  Charge Number: ______________________________________Additional 3-4 digit code______________
  Credit Card Expiration:______________
   
  PLEASE add me to your e-mail list for reminders before due dates:
  ___________________________________________________________
   
  Due Date: Wednesday, May 9th
  Order Form should be returned to the school office, Braeside Bucks mailbox. Sorry, no exceptions to due dates.
  Questions? Call Emily Goldin, 681-1980. Thanks for your contribution to Braeside!
 
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