WHTL Juicies Fundraiser Order Form
Thank you for supporting the WHTL fundraiser! Funds raised will go towards keeping our toy library running for our tamariki. 

A box of 10 Juicies for $12 - flavours are mixed (4x tropical, 3x wildberry & 3x apple).

Orders and payment close on Friday 27th September (no late orders sorry) and orders will be ready for collection in the first week of the school holidays.

Juicies come unfrozen - pick up will be from the toy library during operating hours.
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Your Name (first + last): *
Email Address: *
Contact Number *
Order: *
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Any other comments? *
Date Paid: *

Please transfer payment to :

Western Hills Toy Library
02-0290-0471950-00
* our bank account details can also be found on our website

Payment due by Saturday 28th of September
Please put your name along with JUICE as a reference.
E.g. Ref: JUICE J Smith
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