Billing and Contact Information
First & Last Name
Street Address
Phone Number
Email Address

Order Information
Would you like your order for delivery or pick up?	- Choose an Option - Delivery (between 9:00am-12:00pm) Pick Up (between 8:30am-11:00am)
Number of Guests
Would you like your meal individually packaged?	- Choose an Option - Yes No Unsure
Would you like to add on any of these items?	Festive Dessert Selection (2 pieces per person) - $3.95 Perogies - $3.00 Cabbage Rolls - $3.00 Holiday Mixed Greens - $3.00 Locally Baked Rolls & Butter - $1.50 Baked Ham - $5.00 Roast Beef - $5.00
Additional Notes

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