Lifelong Access Taco Kit Order Form

Lifelong Access Taco Kit Fundraiser

April 16, 2026
Pre-order now for the Lifelong Access Taco Kit Pop-Up Fundraiser on April 16, 2026!

$10 for each Taco Kit sold from this event will go toward
supporting Lifelong Access

Pick-up will be at either Moe's Southwest Grill located at
2401 East Empire Street, Bloomington -or-
1730 Bradford Lane, Normal
between 5:00 PM and 7:00 PM.

Order Deadline: Orders must be placed by April 15, 2026 at 2:00 PM. No orders can be accepted on-site and pre-orders spots are limited, so don't wait!

Questions? Contact our team at 309-451-8888
Contact Name:

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Protein Choice #1
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Please select your Taco Kit quantity*

Taco Kit $48.99

Taco Kit comes with 12 soft flour tortillas, your choice of two (2) proteins, lettuce, shredded cheese, pico de gallo, southwest seasoned rice, black beans, sour cream, and a bowl of Moe’s famous queso to share. As usual, the chips and salsa are on us!
Pick the location you would like to pick up your Moe's Taco Kit:
What time would you like to pick up the order?
Please Note: Payments for this form are processed through Square and will appear with SQ* or gosq.com on your credit card or bank statement.

Moe's Taco Kit

Price is $48.99 plus tax (total $54.75)

$48.99 Quantity

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Lifelong Access Taco Kit Fundraiser