| If you would like to order/pay by telephone, please call 1-800-377-2586 with your credit card information. This form is for online payments only. |
| Student’s Information |
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Student’s Name |
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Student’s Phone Number |
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School Address
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| Your Information |
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Your First Name |
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Your Last Name |
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Your Telephone Number
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Your e-mail address |
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| Order Information |
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Delivery Date (Sabbath or Sunday dates will be delivered Friday) |
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Choose one: |
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Message in Complimentary Card:
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| Cake |
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This item requires a minimum of 2 business days to process.
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Would you like to purchase a cake for your student?
(8" round, includes plates, forks, napkins and candles) |
Quantity:
@ $20.00 =
$
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Cake Flavors (choose one): |
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Cake Fillings (choose one): |
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Cake Icing (choose one): |
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Preferred Decorating Colors
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Student’s Age |
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Message on Cake:
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| Care Package |
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Bouquet of Flowers |
Quantity:
@ $25.00 =
$
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Fruit Basket |
Quantity:
@ $25.00 =
$
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Medley Basket
(fruit, cheese, crackers, candy, etc.) |
Quantity:
@ $30.00 =
$
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The above items require a minimum of 2 business days to process.
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Balloon Bouquet
(3 assorted shapes, colors and messages) |
Quantity:
@ $8.00 =
$
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| $20 Gift Certificates |
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Panda Express (College Place) |
Quantity:
@ $20.00 =
$
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Black Cup Coffee Shop (College Place) |
Quantity:
@ $20.00 =
$
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Del Taco (College Place) |
Quantity:
@ $20.00 =
$
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Subway (College Place) |
Quantity:
@ $20.00 =
$
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Roger’s Bakery & Cafe (College Place) |
Quantity:
@ $20.00 =
$
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La Casita Mexican Restaraunt (Walla Walla) |
Quantity:
@ $20.00 =
$
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Starbucks (Walla Walla) |
Quantity:
@ $20.00 =
$
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Payment Details
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Please Select a Payment Method:
We are not able to process International credit card orders through the website.
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Online Payment Options:
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Shopping Cart Check-out Element (only visible while the form is being edited)
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| After you submit this form, you will be given the number to call with your credit card information. |
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Surprise Your Student! is not available on the Portland Campus. Sponsored by the WWU Alumni Association.
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Please send checks to:
WWU Alumni Association
204 S. College Ave
College Place, WA 99324.
Please send a printed copy of this form, along with your check.
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