6/17 Order Form-Credit Card

Order Form

PICK UP - Wednesday, June 17th. 11am-6pm or DELIVERY - Wednesday, June 17th. 9am-1pm.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email for Confirmation
example@example.com
Method of Delivery
Address for Delivery

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Notes for the chef

My Products

Steak Tip Dinner

Tender marinated steak tips served with red bliss mashed potatoes and roasted broccoli.

$23.00

	Quantity	Price
Individual		$23.00
Dinner for Two		$45.50

Item subtotal:

Jalapeno Popper Chicken

Shredded chicken with a cream cheese sauce, fresh diced jalapenos. Topped with bacon and cheddar! Served with a side of green beans.

$15.50

	Quantity	Price
Individual		$15.50
Dinner for Two		$30.00

Item subtotal:

Big Mac Bowl

Our favorite fast food burger in a bowl. No bun! Seasoned ground beef, pickles, cheddar cheese, tomatoes, shredded iceberg lettuce and of course, that special sauce!

$16.00

	Quantity	Price
Individual		$16.00

Item subtotal:

Chicken Marsala

Chicken breast filet in a mushroom and marsala wine sauce. Served with pasta.

$16.00

	Quantity	Price
Individual		$16.00
Dinner for Two		$31.50

Item subtotal:

Pesto Primavera *Vegetarian

Zucchini, summer squash and tomatoes in a bright pesto sauce tossed with pasta. Option to add chicken breast is available.

$15.00

	Quantity	Price
Individual		$15.00
Dinner for Two		$29.50
Add serving of chicken		$4.00

Item subtotal:

Garden Side Salad

Small side salad that compliments any meal.

$5.00

	Quantity	Price
Individual		$5.00

Item subtotal:

Delivery Fee

$5.00

Total

Credit Card

Should be Empty: