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Sponsor a Friday Night Shabbat Oneg
Briskin Elementary Iced Coffee Fundraiser Order Form
Step
1
of
4
25%
It’s time for Laila Lavan! All coffees are $10 each. If you order $25 or more, you earn a free Raffle Ticket at Laila Lavan! Order for yourself or donate one to a staff member.
All proceeds go to Briskin Elementary’s Annual Giving Campaign!
How many iced coffees would you like to order for yourself?
(Required)
1
2
3
Milk Preference
(Required)
Dairy Milk
Non-Dairy Milk
None
Mix Ins
(Required)
Simple Syrup
Vanilla Syrup
Hazelnut Syrup
None
Pickup Method
(Required)
Carpool Line Pickup
Walk Up Pickup
If Carpool Line, what is the make/model of your vehicle?
Would you like to donate an iced coffee to a Briskin Elementary staff member?
(Required)
Yes, I would like to donate 1 coffee for a staff member ($10)
Yes, I would like to donate 2 coffees for staff members ($20)
No, thank you
Name
(Required)
First
Last
Email
Cell Phone
Total
Credit Card
(Required)
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