Address ___________________________________________________________ Phone ______________________________________________________________ E-mail ______________________________________________________________ Certificates can also be purchased as needed at the school by calling the Grocery Certificate Coordinator, Michael Chimento (720-886-2232)
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Cash or check is the preferred method of payment.
Name on Account (Please Print)___________________________________________ Card Number_________________________________________________________ Exp. Date______________________3 Digit Security Code____________________ I authorize the following amount ______________to be charged to my credit card. Signature____________________________________________________________
Sold by CTHS Student_______________________Date_______
es! Our family wants to support CTHS efforts to travel ...
_____Please direct my funds to: the travel club. CTHS student_____________. _____This is a: One ... MasterCard. Cash or check is the preferred method of ...
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