5th 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.

5th Grade Package (PTO fee included)

Cost: $67.00 Quantity: _______________