3rd Grade School Supply Order Form 2010-2011

PTO Use Only

Date Received:_________

Check Number:__________

Amount:___________

School Supply Order Form


Your Name: ________________________________________

Child’s Name: ________________________________________

Phone Number: ________________________________________

Email Address: ________________________________________

Please indicate the number and type of package you want. Make checks payable to St. Leo’s PTO.

3rd Grade Package One - “Basic” (PTO fee included)

Cost: $22.50 Quantity: _______________

3rd Grade Package Two - “Full” (PTO fee included)

Cost: $49.00 Quantity: _______________