Fairmont Elementary

6th Grade Fair Share

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Your Name*

First Name Last Name

Student's Name*

Student's First Name Student's Last Name

Homeroom Teacher

Student's Shirt Size*

Email Address*

Phone*

Fair Share Payment*

I will pay $60.

I will pay a different amount.

6th Grade Fair Share Payment*

Price:

Alternate Fair Share Amount*

Total Due

Billing Address*

Street Address City State Zipcode

Secure Payment Details*

Name

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