Boxed Lunch On-line Order Form
Client Name
*
Company Name
Phone Number
*
E-mail
*
Date of Function
*
Desired Delivery Time
*
(15 minute range)
Lunch Time
Delivery Address
*
Room Number/Delivery Details
Form of Payment
(Pls call 217.643.7205 w/ payment details to confirm order.)
Cash
Credit Card
Check
Billing Address
*
NOTE:
Substitutions start at $1.00. Labeling boxes with guests name available starting at $2.00 per box. All boxes are color coded and labeled with sandwich type.
Menu
Quantity
Option 1
Smoked Turkey
Option 2
Honey Ham
Option 3
Roast Beef
option 4
Grilled chicken
option 5
portabello
option 6
chicken salad
option 7
house salad
option 8
caesar salad (chicken)
option 9
caesar salad (salmon)
option 10
asian salad
OPTION 11
CHICKEN WRAP
OPTION 12
TURKEY WRAP
OPTION 13
VEGETARIAN WRAP
Bottled Water
Diet Coke
Coke
sprite
Security Code
*
Refresh Code
Enter Security Code
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