Vacation Bible School
Refreshments Sign-up form
____________________________________________
   
Please fill out the information below, then click "Submit Form" to process your
request. Upon submitting this form, an e-mail confirmation will be sent to any e-mail
address provided. All orders must be placed at least 2 weeks before the DATE OF
PICKUP. Ukrop's will provide for the week:

* Cookies
* Kool-aid
* Cups and napkins
* Ice cream cups for the last day only
Church:
Address:
City:
State:   VA   Zip:    
# Children in VBS:
Pick Up Location:
Pick Up date:
<August 2008>
SuMoTuWeThFrSa
272829303112
3456789
10111213141516
17181920212223
24252627282930
31123456
  		VBS Start Date:
<August 2008>
SuMoTuWeThFrSa
272829303112
3456789
10111213141516
17181920212223
24252627282930
31123456
 
Contact's Name:
Contact's Phone Number:  
Contact's Email Address:  
Comment: