The Arc of Butler County
Holiday Fruit Order Form

If you would like to purchase Holiday fruit totes or baskets, please complete and Submit this form below. You may also print and mail in or drop off the form to the following address,


The Arc of Butler County
100 North Washington Street
Butler, PA 16001
724-283-3300 Ext 10
Sale dates December 19, 20 & 21, 2007 - Order deadline 12/14/2007

Name:

Address:

Address 2:

City:

State: Zip Code:

Home Phone:

Work Phone:

E-mail:

Totes are priced at $5 and $10, baskets are $10 and $20.
Delivery is available December 19 & 20 only. Please call for details.

Number of $5 fruit totes.

Number of $10 fruit totes.

Number of $10 fruit baskets.

Number of $20 fruit baskets.

In the text area below, please describe any custom baskets you would like to obtain pricing on, or call for pricing.