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 Pick Up (between 8:30am-11:00am)
Preferred Delivery Time (drop down)	- Choose an Option - December 24 8:00am-10:00am December 24 10:00am-12:00pm
Number of Guests
Would you like your meal individually packaged? (drop down)	- Choose an Option - Yes No Unsure
Would you like to add on any of these items? (check box)	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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