Mirror Lake Elementary PTO Fundraiser

Use this form to order books for the Mirror Lake PTO Fund Raiser.
Book orders placed here will be delivered during the visit from Shannon Jones on Thur. Feb 22nd.
KeeKee and the PTO thank you for your support!

"*" indicates required fields

1) Parent/Guardian Information

Parent Name*

First Last

Email*

2) Fund Raiser Book Quantity

How Many Books Would You Like To Purchase?*

1 Book PTA Fundraiser ($15)

Price:

2 Books - PTA Fundraiser ($29)

Price:

3 Books - PTA Fundraiser ($42)

Price:

4 Books - PTA Fundraiser ($54)

Price:

5 Books - PTA Fundraiser ($65)

Price:

3) Select Your Title(s)

Book 1 - Which Book Title?*

Book 2 - Which Book Title?*

Book 3 - Which Book Title?*

Book 4 - Which Book Title?*

Book 5 - Which Book Title?*

Total Cost

4) Child's Information

What is your child's first name?*

What Grade Are They In?*

Teacher's Name*

What is your child's teacher's name?

Personalization

Shannon will sign the book to your child's name. If you have more than one name you would like Shannon to sign the book to, just let us know!

5) Payment Information

Credit Card*

6) Where Should We Send The Book(s)?

Shipping Address (Free Shipping)*

Please provide your address and we will ship your book order to your house (for free)!

Street Address Address Line 2 City State ZIP Code

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