Grocery Cards Order Form

Red Barn and Country Grocer will donate 10% of the value of all gift cards purchased back to our school.
For every $50.00 card you buy, $5.00 is donated to ROMS.

Please drop off your cash or cheque made out to 'ROMS PAC' in the mailbox across from the office once you have submitted this order.

Orders and cheques must be received by Friday, April 29th to be ready for pick on Tuesday, May 3rd.

Thank you !

Full Name*

First NameLast Name

E-mail*

Phone Number*

Area CodePhone Number

Red Barn Market Cards Order

Quantity of $50 Red Barn Market Cards

Red Barn Market Card Order Total ($)

Country Grocer Cards Order

Quantity of $50 Country Grocer Cards

Country Grocer Card Order Total ($)

Order Total

ORDER TOTAL ($)

Please make cheques payable to 'ROMS PAC'.

Card Pick Up*

I or my child will pick up the cards at the school office on Tuesday,May3rd.

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