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Post date: May 7, 2018 2:19:26 PM
UPHS PSO “MADE WITH LOVE”
UPHS GRADUATION LEIS
$20 EACH
All Orders DUE BY TUESDAY, MAY 15TH to Ms. Helen in the UPHS Office
Date Ordered: ________________________________________
Senior Name (Please Print): _______________________________________________________
Parent Name (Please Print): _______________________________________________________
Parent Cell Phone Number: _______________________________________________________
Number of Leis Ordered: _________________________________________________________
PAYMENT: CASH or CHECK CK# __________ AMOUNT INCLUDED: ____________
Order Form Attached Below:
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