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Mother's Day Fundraiser Order Form
Date of pick-up Delivery: May 13th, 2017
Time of Pick-up/Delivery: 12pm-4pm
Cost: $45/fruit basket (free delivery available within Regina City limits)
Deadline to order: May 10th, 2017
Customer First and Last Name *
Your answer
Customer Phone Number *
Your answer
Customer Email *
Your answer
Number of Baskets you would like to purchase *
Delivery or Pick-Up *
Method of Payment *
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