Order Form Process

Ÿ Present form to Participant

Ÿ Participant completes top half, Coordinator completes bottom half. Make sure information on form is in agreement with Participant. Tear off at dotted line. Give top half to Participant and keep bottom half for yourself.

Ÿ Enter orders from bottom half (your copy) onto Live Data Spreadsheet as soon as possible so we can keep track of National running order totals.

Majeedah Muhammad majeedah@noimoa.org 229-226-7192

Sheila King shek1@yahoo.com 229-226-9217

224 College Circle Drive Albany 31721GA

2

1

2

1

1

7 418.19236

7 236 418.19

11

1

2

2

Sheila King

shek1@yahoo.com404-226-9217

224 College Circle DriveAtlanta

30320

GA

7 236 418.19

1

1

1

2

2

Sheila King

shek1@yahoo.com229-226-9217

224 College Circle DriveAlbany

31721

GA

7 236 418.19

1

1

1

2

2

Majeedah Muhammad majeedah@noimoa.org 229-226-7192

2

1

2

1

1

7 418.19236

$90.00

$90.00

Applesauce (12 - 4 pack 4 oz cups)

Applesauce (12 - 4 pack 4 oz cups)

Bean Soup Mix (9 - 4 oz packs)

Bean Soup Mix (9 - 4 oz packs)

Bean Soup Mix (9 - 4 oz packs)

Bean Soup Mix (9 - 4 oz packs)