ON LINE ORDER FORM

Pay for your order when you pick it up!

Make Checks Payable: St Ann Grocery Fund
($20.00 charge for any checks returned)
When using credit cards, all orders are subject to credit approval


Orders In By Wednesday 8:30 AM - Back By End Of Week
Drop off order after mass / pick up the following weekend after any mass

Enter order info with your keyboard
When order is complete, push
SUBMIT ORDER FORM button

 

Name   
Date    
Address 
ZIP     
Phone      

Email        

1 - Vender     Qty   Certificate Amount  $ LineTotal $
2 - Vendor   Qty   Certificate Amount  $ LineTotal $
3 - Vendor 
Qty  Certificate Amount  $  LineTotal $
4 - Vendor    Qty  Certificate Amount  $ LineTotal $
5 - Vendor   Qty  Certificate Amount  $ LineTotal $
6 - Vendor     Qty  Certificate Amount  $ LineTotal $

Grand Total   $

 


Author information goes here.
Copyright © 2001 [OrganizationName]. All rights reserved.
Revised: 10/08/07.