B.E.A. FRUIT BASKET NOTIFICATION
NAME ____________________________________________________________
should receive a fruit basket from the B.E.A.
_____________ Marriage
_____________ Birth of a child
_____________Illness causing member to miss over 10 school days
_____________ Death of a husband, wife, child, mother or father
SCHOOL: _________________________________________
ADDRESS: ________________________________________
_________________________________________________
TELEPHONE NUMBER _______________________________
SEND FORM TO:
Lou Cappello
BHS