JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
PuRSA & MexSA Tostones Fundraiser
If you are ordering more than 3 Tostones, click "other" and type what you will like.
You will receive a confirmation text message once your payment is received.
Pre-orders accepted until Wednesday (9/19) at 7pm.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Please type your name and phone number
*
Your answer
What would you like to order?
*
3 Tostones with Guacamole ($5)
3 Tostones with Mayoketchup ($4)
Other:
Required
What form of payment are you using?
*
Venmo, our venmo is @uconnpursa
Would you like your order delivered for an extra $2?
*
Yes
No, I will be picking it up!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Connecticut.
Report Abuse
Forms
