Roxboro Elementary Chocolate Sale Online Order Form
How it works
See the main page for details on how the Chocolate Sale works. Use this form to order as many boxes as you choose. You have two payment options, either pay online using this page, or send cash/check with your child. Either way, you need to fill out this form so we have your info.
Parent/Guardian Phone Number (Include Area Code)
Preferred Method of Contact
Number of Boxes
1 Box - $60 (Due in full by September 28)
2 Boxes - $120 (Minimum payment of $60 due at time of order. Balance due by September 28)
3 boxes - $180 (Minimum payment of $120 due at time of order. Balance due by September 28)
This is a:
Send with my child or donate to City Mission?
Send with my child
Donate to City Mission
Pay now or pay later? (All payments due by September 28.)
If paying now, how will you be paying?
Online - I will pay online today with my credit card or PayPal account. (See below.)
Cash - I will send a cash payment to school in my child's folder.
Check - I will send a check to school, payable to Roxboro Elementary PTA, in my child's folder.
Be sure to click "submit" to record your info for our records. If paying online now, you should then click the "ad to cart" button below. You should be taken to a PayPal page that will show the number of boxes you requested, and where you can pay with PayPal or credit card.
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