Master Order Form

To simplify your “Back to School” paperwork and check writing, please use this master order form.  Send back to school in an envelope marked “Master Order Form.”

Family Membership to Home and School-    $10.00 per family               Total____

Remember-Joining gets you a free Buzz Book & a NEW cougar car magnet!

Family’s Last Name: _____________________________ 

Children’s Names: ___________________________            Teacher__________________

___________________________            Teacher__________________

___________________________            Teacher__________________

Ice Cream Coupons-                                  #___of Books x $5.00         Total ____

**Cash is not accepted for ice cream on days of sale**

4 coupon books will get 1 child thru the entire year.

Return coupons to _______________________                           __________________________

                          (Child’s Name)                                            (Teacher)

Cougar Communication Pads                   #___ ordered                        Total____

$2.00 each or 3 for $5.00

Return Pads to __________________________                  ____________________________

                      (Child’s Name)                                       (Teacher)

Check #____________

Cash $_____________ Grand Total Enclosed $_____________

In case we have questions

Parent Name & Phone Number_____________________________________