Order Form
Fill out this form, print it and bring it along with payment to the GCC Cashier's Office located in the Enrollment Center. Then bring this verified form to the Student Life Office in the Student Union Building to pick up your purchased item(s).
| Name |
| Address |
| City State Zip |
| Phone E-mail |
| Quantity | Subtotal | |
Flip Flops ($12.00 a pair or $20.00 for 2 pairs) |
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Travel Mug ($12.00 each)
|
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T-shirt ($10.00 each) |
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Tote Bag ($10.00 each)
|
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Mini Notebook & Pen Set ($10.00 each) |
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Pen ($5.00 each) |
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"Changing Lives" Holiday Ornament ($5.00 each) |
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Total |
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Cashier's office verification: |
Initials
|
Amount paid |



