Dear Parents,

Please use the following order form to purchase lunch tickets for your child(ren) in increments of $2.25. This form can be used for your next 6 purchases. Each account will be under the oldest or only child in each family. Enclose your order in an envelope marked “Lunch Ticket Order” and send it to your child’s teacher along with a check or cash.

Oldest/Only Child’s Name ` Homeroom # Lunches Total $

________________________________________________ _____ x $2.25 = ________

_____________________________________________________________________________

Oldest/Only Child’s Name ` Homeroom # Lunches Total $

________________________________________________ _____ x $2.25 = ________

_____________________________________________________________________________

Oldest/Only Child’s Name ` Homeroom # Lunches Total $

________________________________________________ _____ x $2.25 = ________

_____________________________________________________________________________

Oldest/Only Child’s Name ` Homeroom # Lunches Total $

________________________________________________ _____ x $2.25 = ________

_____________________________________________________________________________

Oldest/Only Child’s Name ` Homeroom # Lunches Total $

________________________________________________ _____ x $2.25 = ________

_____________________________________________________________________________

Oldest/Only Child’s Name ` Homeroom # Lunches Total $

________________________________________________ _____ x $2.25 = ________

_____________________________________________________________________________