Item Cost Quantity Total Item Cost Quantity Total Hamburger $3.00 Chips:Lays, Doritos,

Hot Cheetos * $0.50

Cheeseburger $3.00 Famous Amos Cookies $0.50

Nachos $3.00 Mini Blueberry Muffins $0.50

Hot Dog $2.00 Oreo Cookies $0.50

Baked Potato $3.00 Pudding: Vanilla or Chocolate*

$0.50

Extras Takis and Flamin Hot Chips *

$1.00

Capri Sun, Sunny D, or

Water

$0.50 Grand Total:

Amount enclosed:

Item Cost Quantity Total Item Cost Quantity Total Hamburger $3.00 Chips:Lays, Doritos,

Hot Cheetos * $0.50

Cheeseburger $3.00 Famous Amos Cookies $0.50

Nachos $3.00 Mini Blueberry Muffins $0.50

Hot Dog $2.00 Oreo Cookies $0.50

Baked Potato $3.00 Pudding: Vanilla or Chocolate*

$0.50

Extras Takis and Flamin Hot Chips *

$1.00

Capri Sun, Sunny D, or

Water

$0.50 Grand Total:

Amount enclosed:

Please submit one form per student. Full payment is due at time order is submitted.

Pay with Cash (exact amount), Check (made payable to St. Joseph Catholic School), or Card (Front Office)

Please submit one form per student. Full payment is due at time order is submitted.

Pay with Cash (exact amount), Check (made payable to St. Joseph Catholic School), or Card (Front Office)