EmailMe Form - Weekly Dinners Order Form

Today's Date
MM / DD / YYYY
Name
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone
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Email
Delivery Date & Time
MM / DD / YYYY HH : MM AM/PM
Menu

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Beef Entree Meal - $25.00

Chicken Entree Meal - $25.00

Seafood Entree Meal - $25.00

Turkey Entree Meal - $25.00

Vegetarian Entree Meal - $25.00
Desserts

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Strawberry Crunch Cake Slice - $8.00

6" Caramel Crumble Apple Pie. - $9.00

g" Sweet Potato Pie - $8.00

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Strawberry Crunch Cake Slice - $8.00
6" Caramel Crumble Apple Pie. - $9.00
g" Sweet Potato Pie - $8.00

Beverages

Special Instructions
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Delivery Options
Pickup - Free (Pickup location - 9701 Apollo Drive, Suite 100, Largo, MD 20774. If orders are not picked by the deadline of the delivery day and and arrangements are made for a delivery to the customer, a fee will be charged)
Delivery Fee - $5.00 to $10.00 (Depends on distance)
Shipping Address
E-Mail List
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