Bulk Food Order Form
Name of Person Picking Up Order:
*
First Name
Last Name
Contact Number
*
E-mail
*
example@example.com
Pick-Up Time:
*
Manti $30
Katah $20
Lahmajoon $15
Kufteh $32
Lavash $10
Choreg Loaf $12
Choreg (Singles) $12
String Cheese $10
Tourshi $10
Cheese Boreg Large (Phyllo) $40
Cheese Boreg Small (Phyllo) $25
Cheese Boreg $12
Souboreg Small $40
Souboreg Large $75
Basterma $22
Armenian Sweet Sujuk with walnuts $20
Sarma $12
Ararat Akhtamar (Aged 10 Years) $70
Ararat (Aged 5 Years) $40
Henry's House of Coffee 1lb $17
Armenian Coffee Pot $12
GRAND RAFFLE
Proceeds to benefit Artsakh Armenians
RAFFLE TICKET $20
Calculation
Total Price:
*
prev
next
( X )
USD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit Order
Should be Empty:
