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SEPTEMBER 2018Student Name: Grade: Parent/Guardian: Phone: requiredSize Without Milk Small $64.80 With Milk $79.20Medium $69.30 ×83.70Large $75.60 ×90.00Total Enclosed: $ Payment Option: Check Enclosed
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Information such as product names, quantities, ingredients, and any relevant certifications or testing results may need to be reported on without milk.
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