Milk Order Form $1.00/250 ml. carton

You have a choice! You may choose to drink white or chocolate milk 5 days per week

or you may wish to drink chocolate milk on Monday, Wednesday and Friday and

white milk on Tuesday and Thursday. Simply complete the form below by putting a

checkmark in the appropriate column. Return this order form along with your payment.

(Order due Tuesday October 1, 2019)

Month: OCTOBER starting Monday 7th

Student’s Name_________________________ Teacher __________________________

White Only

Choc. Only

3 x Choc and 2 x White

Days per month

Total

$1.00 X 18

$18.00

cash cheque online

Please send one order form per student. Exact change only.

Send your payment in a sealed envelope clearly labelled Milk Order

Please make cheques payable to Worsley Elementary School.

Do not send postdated cheques.

Missed days due to student absences are considered a donation to Worsley School