Prairie Care Packages Order Form

Student Name

First NameLast Name

Include a personal note to be written in the card:

If ordering more than one care package, please indicate which package each note is for.

Your name:

First NameLast Name

Your email address:

My Products

Package of the Month - September

This care package includes a baked treat, a specialty drink from the Atrium Cafe, a variety of snacks, and an encouraging card from you. Deadline to order: Friday, September 18th (Packages will be delivered the last week in September)

$20.00 CAD

Package of the Month - October

Your student will enjoy the gift of a specialty drink from the Atrium Cafe, a baked treat, seasonal snacks, and an encouragement card during exam week. Deadline to order: Friday, October 16th (Packages will be delivered during exam week, October 19th)

$20.00 CAD

Package of the Month - November

Your student will enjoy a baked treat, a large specialty drink from the Atrium Cafe, a variety of snacks and an encouragement note from you. Deadline to order: Friday, November 13th (Packages will be delivered the last week in November)

$20.00 CAD

Package of the Month - December

Your student will enjoy being remembered at Christmas and will appreciate your encouragement as they prepare for exams. Package includes a baked treat, a large specialty drink from the Atrium Cafe, seasonal snacks and a Christmas card from you. Deadline to order: Friday, December 4th (Packages will be delivered exam week, December 14th)

$20.00 CAD

Subtotal

Tax

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year