* WLS In-N-Out Day * October 3 * Complete ONE FORM PER ORDER. DEADLINE Thursday, September 26, 2019.
Please complete ONE FORM PER ORDER. i.e. 2 children + Parent = 3 order forms completed.
An order confirmation will be sent to the email address provided.
Cost for each meal is $5.00 (includes burger, chips and drink).
Please submit payment through this link
by 5 p.m. on Sept 26. Orders will not be accepted after this date.
Questions? Please contact Michele Williams at
75% of the monies are donated back to WLS!
Last Name on Order
First Name on Order
This order is for
Parents LAST Name (if ordering for yourself just write 'same')
Parents FIRST Name (if ordering for yourself just write 'same')
Includes lettuce, tomato, and spread
Please select "Plain Meal Option" if you would like your meal made plain. The burger will be made with meat and/or cheese and bun only.
Plain Meal Option
Minute Maid Light Lemonade
Pay online (link on next screen)
I authorize WLS to Charge my ACH or Credit Card on file
Pay Cash/Check and turn into the office by 9/26
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