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Meal To Go Order Form

Please complete the form below by 6:00 p.m. the day before your meal is needed. Meals include baked cookie, piece of fresh fruit, napkin, and flatware. Entrée includes vegetable and starch selection per the menu.

If you fail to pick up your ordered" Meal To Go" twice, your privilege will be suspended.

Name:
Email:
Reason for Meal To Go:
Pick Up Day:
Pick Up Time: Lunch 11:00 a.m. Dinner 4:00 p.m.
Choose your meai:  
Sub Sandwich Choices: All subs are prepared on fresh 6" sub rol
Turkey
Ham
Roast Beef
Tuna
Cheese
Lettuce
Tomato
Chips
Mayo pack
Mustard pack
 
Beverage:
Coke
Diet Coke
Sprite
Gatorade
Water