Order Form
FINALS PACK MAILER FORM
Please make checks out to: Residence Hall Association
Student’s Name _________________________________
Room Number and Hall ______________________________
Student’s Email ____________________________________
Student’s Phone Number ____________________________
Your email_______________________________________
Your Phone number____________________________________
# Amp Packs _____ # Study Smart Packs ______ # Brain Food Packs_______
# Mom in a Bag Packs ______ # Study Break____
Total Amount Enclosed: $________
Price list:
1 pack= $20.00
2 pack combo= $35.00
3 pack combo= $45.00
4 pack combo= $55.00
5 pack combo= $65.00
Comments/Suggestions:
