GRCC WC Test Online Lunch Order Form


INSTRUCTIONS:
1. Complete the Lunch Order Form below
2. ALL fields marked * ARE REQUIRED
3. Click the Submit button to send in your data
4. Return to the form and click on the "Pay Now" button
5. Fees for online payment are included in the price shown below

PLEASE NOTE: Your electronic form acceptance is not finalized until we receive your payment. Online submissions will be CANCELLED if your online payment is not received.

GRCC WORKING CERTIFICATE TEST LUNCH ORDER FORM

JULY 15, 2010
Stratford, Ontario



Name:*
Street Address:*
City:*
Province:*
Postal Code:*
Phone#:
email Address:*
e-Signature (selecting Yes indicates
you certify that you agree to immediately
pay the required fees electronically):* 		Yes

No
Choose a sandwich (lunch also includes a
drink, vegie snack, dessert, and fruit):* 		Egg Salad

Tuna Salad

Turkey Breast
GRCC WC Test Lunch for July 15, 2010
Sandwich, Drink, and Snack $8.00 CAD