MILK AND PIZZA ORDER FORM April 2017

Pizza will be served every Wednesday. If Wednesday is a SNOW DAY, pizza

will be served on the NEXT school day that is NOT a Snow Day.

APRIL PIZZA ORDER

We offer cheese and pepperoni pizza from Centennial Restaurant. The price is
$3.00 per slice for either cheese or pepperoni. Please indicate number of pieces
beside each date below:

CHEESE PEPPERONI (CHECK ONE)

Apr. 5_____ Apr. 12 ____ Apr. 19____ Apr. 26____

TOTAL PIECES______X $3.00 =
__________

Milk will be served every day of the month, and will end for that month on the last school day
of the month, regardless what day of the week it falls on.

APRIL MILK ORDER (Serving dates: April 3-28)

Milk is ordered by the month. The price is $.75 per unit, calculated according
to the number of planned school days in the month.

White Milk Chocolate Milk

Payment for April: $12.75 (17 days x $.75)

Student Name: __________________________ Homeroom:

__________
Food For Thought Donation: $________________
Total Funds Submitted $____________

***PLEASE SUBMIT ORDERS IN AN ENVELOPE OR

ZIPLOCK BAGGIE!!***

A SEPARATE ORDER AND PAYMENT MUST BE

SUBMITTED FOR EACH CHILD
Refunds are not possible for pizza or milk due to absence of a student. Please ensure orders
are submitted BEFORE March 29th.
Our snack program is very popular with our students. If you wish to contribute financially to the
success of the Food For Thought program, please enter the amount and add it to YOUR total
order.