Readington HSA
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Would you like to pick up on November 10th, 11th or 12th
November 10th
November 11th
November 12th
November 10th - Please select time?
*
Tuesday, November 10th from 1:00pm-1:30pm
Tuesday, November 10th from 1:30pm-2:00pm
Tuesday, November 10th from 2:00pm-2:30pm
Tuesday, November 10th from 2:30pm-3:00pm
Tuesday, November 10th from 3:00pm-3:30pm
Tuesday, November 10th from 3:30pm-4:00pm
Tuesday, November 10th from 4:00pm-4:30pm
Tuesday, November 10th from 4:30pm-5:00pm
Tuesday, November 10th from 5:00pm-5:30pm
Tuesday, November 10th from 5:30pm-6:00pm
November 11th - Please select time?
*
Wednesday, November 11th from 1:00pm-1:30pm
Wednesday, November 11th from 1:30pm-2:00pm
Wednesday, November 11th from 2:00pm-2:30pm
Wednesday, November 11th from 2:30pm-3:00pm
Wednesday, November 11th from 3:00pm-3:30pm
Wednesday, November 11th from 3:30pm-4:00pm
Wednesday, November 11th from 4:00pm-4:30pm
Wednesday, November 11th from 4:30pm-5:00pm
Wednesday, November 11th from 5:00pm-5:30pm
Wednesday, November 11th from 5:30pm-6:00pm
November 12th - Please select time?
*
Thursday, November 12th from 1:00pm-1:30pm
Thursday, November 12th from 1:30pm-2:00pm
Thursday, November 12th from 2:00pm-2:30pm
Thursday, November 12th from 2:30pm-3:00pm
Thursday, November 12th from 3:00pm-3:30pm
Thursday, November 12th from 3:30pm-4:00pm
Thursday, November 12th from 4:00pm-4:30pm
Thursday, November 12th from 4:30pm-5:00pm
Thursday, November 12th from 5:00pm-5:30pm
Thursday, November 11th from 5:30pm-6:00pm
Select from the following family dinners (each dinner comes with garlic bread and a family style salad)
*
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Baked Ziti (Vegetarian)
$42.95
$
42.95
Quantity
1
2
3
4
5
6
7
8
9
10
Stuffed Shells (Vegetarian)
$42.95
$
42.95
Quantity
1
2
3
4
5
6
7
8
9
10
Manicotti (Vegetarian)
$42.95
$
42.95
Quantity
1
2
3
4
5
6
7
8
9
10
Ravioli (Vegetarian)
$42.95
$
42.95
Quantity
1
2
3
4
5
6
7
8
9
10
Eggplant Parmigiana with Penne Pasta (Vegetarian)
$42.95
$
42.95
Quantity
1
2
3
4
5
6
7
8
9
10
Chicken Parmigiana with Penne Pasta
$42.95
$
42.95
Quantity
1
2
3
4
5
6
7
8
9
10
Spaghetti and Meatballs
$42.95
$
42.95
Quantity
1
2
3
4
5
6
7
8
9
10
Chicken Fingers and French Fries
$42.95
$
42.95
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
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Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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