Baldwin Community United Methodist Church Preschool Security

---

Baldwin Community United Methodist Church Preschool Security System Order Form Name of Child: _________________________________________________ Address: _______________________________________________________ _______________________________________________________________ What day’s does your child attend Preschool: ___________________________ Room number:_______________ Attends school: AM______ PM___________ # of key fobs being ordered: ___________ Total Amount Due: ($10.00 per fob) _____(Make checks payable to Baldwin Community Preschool) First and last name, address and relationship of person receiving cards: 1. ___________________________________________________________ ___________________________________________________________ 2 ____________________________________________________________ ___________________________________________________________ 3. ___________________________________________________________ ___________________________________________________________ 4. ___________________________________________________________ ___________________________________________________________

Please return to: Baldwin Community Preschool 5001 Baptist Road Pittsburgh, PA 15236