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V-Day Care Package Order Form
Please place your order here for a special Valentines Care Package to be delivered to your student or sweetheart's room. All packages will be similar to the pictures below. Items & colors may vary depending upon availability & allergy. If you have special requests please note that in the question about food allergies and dislikes.
Student Name: *
Your answer
Gender
Location *
Room Number: *
Your answer
Delivery Date *
Package - Products in mixed candy packages may vary. *
Personalized Message to be included with delivery:
Your answer
Does your student have any specific food allergies or strong dislikes that we can be sure to avoid?
Your answer
Your Name: *
Your answer
Email: *
Your answer
Phone Number for Texting:
Your answer
Billing Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
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