Customised Christmas Drive Form (Order Form) Customised Christmas Drive Form (Order Form) Complete and submit this form if you would like us to customise your order form that you will give to participants. First NameLast NameOrganisationDelivery Address for FormsEmailPhone Number 1Phone Number 2Please choose 1 I require (1) Xmas drive form emailed to me I require (1) Xmas drive form faxed to me I required multiple forms delivered to meNumber of forms required The Following information will be printed on your customised Xmas drive form Name of Organisation you are raising fund forDate you want participants to return forms and money to you?What is your preferred delivery date? *What price will you be selling your products? Option A - Loftus Pies Recommended Selling Price Option B - Our Own Prices (Complete prices below) If Option B, Please supply your selling prices below. Download the Xmas Guide here for product details Fruit Mince x 6 (RRP $6) Pudding Single (RRP $5) Xmas Pudding Lg (RRP $14) Fruit Cake 900g (RRP $14) Payment Info: Loftus Pies can only accept one Business Cheque (or Cash) from your organisation. If you want your participants to pay by cheque, they must make cheques out to your own organisation. How will your participants be paying? Cash Only Cheques Only Both Cash & ChequesName of the account that participants should make their cheques out to? Text InputSubmit