Wednesday Meal Sign Up

Please fill out your meal request with how many will be eating.

You must pay weekly by CC, cash or check.

$7 ea - Meal ($7.50 if paying by CC)

$7 ea - Gluten Friendly Meal ($7.50 if paying by CC)
$5 ea - Kids Meal ($5.50 if paying by CC)

ALL MEALS COME WITH: soup, salad bar, drink and gluten friendly available if requested

Name

*

Phone

*

Wednesday Menu: March 12th - NO MEAL DUE TO SPRING BREAK

Main Meal (how many?)

Please select one option.

1 2 3 4 5

Gluten Friendly (how many)?

KID Meal (how many?)

Please select one option.

1 2 3

$7 ea - Meal ($7.50 if paying by CC)

$7 ea - Gluten Friendly Meal ($7.50 if paying by CC)
$5 ea - Kids Meal ($5.50 if paying by CC)

Payment

Custom w/CC or Debit Pay at the Door ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out your meal request with how many will be eating.

Please Fix the Following

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