Pretzel Orders

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Amount Due: $21.00 – Includes pretzels from November 2, 2021 to January 14, 2022
(Orders will close on Friday, October 22, 2021)

Payment can be made in cash or check payable to SJR.  Thank you!

    (* required fields)

    Student #1

    Student First Name*

    Student Last Name*

    Grade*


    Student #2

    Student First Name

    Student Last Name

    Grade


    Student #3

    Student First Name

    Student Last Name

    Grade


    Student #4

    Student First Name

    Student Last Name

    Grade


    Total Paid*

    Check Number*

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