Care Packages - Form Care Package * - Select -Option 1: Sweet Tooth Combo - $ 50.45Option 2: Birthday Combo - $ 29.45Option 3: Comfort Combo - $ 34.95 Choice of Cake * - Select -CheesecakeChocolate RaspberryRoyalOpéraThe Lili Add these extras Chocolate square($5.10) Box of 6 macaroons ($10.75) Assortment of 4 gourmet cookies ($7.80) Old-fashined fleur-de-sel caramel spread ($8.35) Trio of homestyle jams ($6.25) Choice of one * - Select -Green tomato ketchupFruit ketchupTomato ketchupBread and butter pickles Choice of one * - Select -Box of 6 macaroonsCaramelized pecan craquants Your Name * Your Phone number * Your Email * Are you buying a care package for a student or an employee? * - Select -Student (on campus)Student (off campus)Employee Student's full name * Student's phone number or email * Student's Residence * - Select -Brooks - Please specify addressFriel - 240 FrielHenderson - 202 HendersonHyman Soloway - 157 Laurier Avenue EastLeBlanc - 45 Louis PasteurMarchand - 110 University PrivateRideau - 290 RideauStanton - 100 University PrivateThompson - 45 University Private90U - 90 University Private45 Mann Brooks Residence Address * - Select -620 King Edward622 King Edward624 King Edward626 King Edward628 King Edward630 King Edward632 King Edward634 King Edward636 King Edward638 King Edward75 Louis-Pasteur79 Louis-Pasteur81 Louis-Pasteur99 Louis-Pasteur101 Louis-Pasteur85 Marie-Curie95 Marie Curie100 Thomas-More Student's unit number * Employee's name * Employee's phone number or email * Date of delivery * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20192020 There will be no deliveries on Saturday, Sunday or statutory Holidays. Leave this field blank
