J.C. Booth Middle School Band

LUMINARY ORDER FORM
Make checks payable to JC BOOTH BAND BOOSTERS
Each kit consists of 6 bags, 6 long-burning candles and sand.

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# kits ordered X $5.00 per kit =       Paid by:    check cash

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Name Subdivision

Address Phone

# kits ordered X $5.00 per kit =       Paid by:    check cash

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Name Subdivision

Address Phone

# kits ordered X $5.00 per kit =       Paid by:    check cash

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Name Subdivision

Address Phone

# kits ordered X $5.00 per kit =       Paid by:    check cash

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Name Subdivision

Address Phone

# kits ordered X $5.00 per kit =       Paid by:    check cash

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Name Subdivision

Address Phone

# kits ordered X $5.00 per kit =       Paid by:    check cash

------------------------------------------------------------------ Salesperson

Name Subdivision

Address Phone

# kits ordered X $5.00 per kit =       Paid by:    check cash