Lollipop Order Form
Please fill out and return ASAP. Quantities limited. Please enter the quantity on the "Your Answer" line provided. Payment due when order is delivered or picked up. Teachers of virtual students will inform you when order is ready for pick up. Lollipops will not be delivered to virtual students. You will need to pick up within 3 days or order will be returned to stock. Cost is $1 each or 6 for $5.
Child's Name *
Child's teacher *
Strawberries and Cream
Strawberry Kiwi
Root Beer
Mountain Berry
Tangerine
Black Cherry
Watermelon
Raspberry Lemonade
Green Apple
Pink Lemonade
Cherry Cola
Grape
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