1st household
Name-
Address-
City & Zip-
Tele-
e-mail-
2nd household
Name-
Address-
City & Zip-
Tele-
e-mail-
Pick up days are Saturday after 1 pm- Monday 8pm.
Circle the best day for you.
Saturday/Sunday/Monday
Circle payment option
full payment-1 check
March 1st (or now)
2 half payments-
2 checks dated March 1st
(or now), June 1st
4 quarter payments-4 checks
dated March 1st (or now),
April 1st, May 1st, June 1st