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C4C United Way 2021

Billing Information
First & Last Name:
Street Address:
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Email:
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Order Dates

Order Information - September 23, 2021
Delivery or Pick Up? - September 23, 2021
Delivery Location (If different from Billing Information above):

September 23, 2021: Choose Your Menu Quantities - Cold Menu Options $19.95
Harvest Chicken Wrap Menu
Harvest Vegetable Wrap Menu
Roast Turkey Wrap Menu

September 23, 2021: Choose Your Menu Quantities - Heat and Serve Lunch Menu Options $23.95
Lemon Herb Chicken Menu
Lemon Herb Falafel Menu
Beef Kofta Menu

September 23, 2021: Choose Your Menu Quantities - Dessert Options $7.95 Each
Lemon Raspberry Cupcake
White and Dark Chocolate Mousse

Additional Information - September 23, 2021
Notes (please enter any dietary restrictions here) :

Order Information - September 24, 2021
Delivery or Pick Up? - September 24, 2021
Delivery Location (If different from Billing Information above):

September 24, 2021: Choose Your Menu Quantities - Cold Menu Options $19.95
Harvest Chicken Wrap Menu
Harvest Vegetable Wrap Menu
Roast Turkey Wrap Menu

September 24, 2021: Choose Your Menu Quantities - Heat and Serve Lunch Menu Options $23.95
Lemon Herb Chicken Menu
Lemon Herb Falafel Menu
Beef Kofta Menu

September 24, 2021: Choose Your Menu Quantities - Dessert Options $7.95 Each
Lemon Raspberry Cupcake
White and Dark Chocolate Mousse

Additional Information - September 24, 2021
Notes (please enter any dietary restrictions here) :
 
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