New Hope School
             

Meal Pricing:

Student Breakfast $1.10
Student Lunch $2.40
Adult Breakfast $1.25
Adult Lunch $2.85

Lunch Payment:   $   Item Subtotal:  
$0.00
Student's Name [1]

Student's Name

[2]

Student's Name

[3]

Student's Name

[4]

Student's Name

[5]

Student's Name

[6]

Student's Name

[7]

Student's Name

[8]

Student's Name

[9]

Student's Name

[10]
Student Lunch - Child 2:   $   Item Subtotal:  
$0.00
Student's Name [1]

Student's Name

[2]

Student's Name

[3]

Student's Name

[4]

Student's Name

[5]

Student's Name

[6]

Student's Name

[7]

Student's Name

[8]

Student's Name

[9]

Student's Name

[10]
Student Lunch - Child 3:   $   Item Subtotal:  
$0.00
Student's Name [1]

Student's Name

[2]

Student's Name

[3]

Student's Name

[4]

Student's Name

[5]

Student's Name

[6]

Student's Name

[7]

Student's Name

[8]

Student's Name

[9]

Student's Name

[10]
Student Lunch - Child 4:   $   Item Subtotal:  
$0.00
Student's Name [1]

Student's Name

[2]

Student's Name

[3]

Student's Name

[4]

Student's Name

[5]

Student's Name

[6]

Student's Name

[7]

Student's Name

[8]

Student's Name

[9]

Student's Name

[10]
Total:
$0.00
 
Parent/Guardian Information
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Address:
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Phone: Email:
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Method of Payment:
Processing Fees: Credit cards: 3% plus $0.50 ($1.50 min)
                    (4.50% processing fee for foreign cards)
eChecks: $0.49
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