To Go Order Form
48 hour notice is required
House & Name______________________________________________________
Pick Up Date________________________________________________________
Pick Up Time (must be between 2pm & 7pm)_____________________________
Order Received By___________________________________________________
Section
Item
Size
Price
Ex.Raw & Ready
Chicken & Pineapple Skewers
For 2
$20
Total
* Meal delivery service $50 per delivery. Service provided only when staff is available.
Charged to account by ________________ Date____________