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CONTACT US
CONTACT US
CONTACT US
CONTACT US
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CLEANING SUPPLIES
CLEANING SUPPLIES
CLEANING SUPPLIES
CLEANING SUPPLIES
Jan/Mar/May/Jul/Sep/Nov
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Date
Month
Day
Year
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Family Size
Pick your monthly items
Diapers/Pullups/Overnights
Size_____ Size_____ Size_____
Qty_____ Qty_____ Qty_____
Baby Wipes ( Families using Diapers)
Toilet Paper
Paper Towel
Tissue
Garbage Bags
Feminine Pads OR Tampons ( circle one)
Poise Size (4-8) _____ OR
Depends(underwear) Men/Women S/M/L/XL/XXL
Laundry Soap
Dish Soap
All Purpose Cleaner: Concentrate OR Spray (circle one)
Notes: Address/Phone/Household changes?
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