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Name:       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; Phone#       &nbs= p;            &= nbsp;           &nbs= p;    Class:

Perth Road Public School

Parent Order Form – Wilton Cheese Factory

Order Date: March 31/2011   Delivery Date: April 6/2011  Payment Date: April 13/2011

Product

Price per Lb (kg)

Quantity<= /p>

Office Use Only

Extra Mild

16.82

 

 

Mild

16.82

 

 

Medium Coloured

18.81

 

 

Medium White

18.81

 

 

Old Coloured

20.09

 

 

Old White

20.09

 

 

X-Old Coloured

21.50

 

 

X-Old White

21.50

 

 

Specialty            &nb= sp;       

 

 

Slices

14.31

 

 

Colby

16.82

 

 

Havarti

24.58

 

 

Hot Pepper

18.81

 

 

Marble

18.81

 

 

Onion

18.81

 

 

Swiss

20.67

 

 

Mozzarella

16.82

 

 

Grated Mozzarella

17.62

 

 

Casserole

16.82

 

 

Skim

21.16

 

 

Pineapple Cream Cheese

23.79

 

 

Herbs & Spice Cream Cheese

23.79

 

 

Gift Boxes

 

 

 

Small (Colby, Med,Old W 250g pc)<= o:p>

19.83

 

 

Medium (Marble, Med, Old w 500g p= c)

29.87

 

 

Large (Colby, Onion/Garlic Mozz 2= 50g) Marble, Med, Old W 500g)

42.75

 

 

Total Packages

 

Total Order

$

PLEASE  DO NOT FAX OR PHONE ORDERS TO WILTON<= /span>

No late orders will be accepted aft= er 10:00 am Wednesday November 10th 2010

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