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Ice Yes / No Mrs Pumpkins Bakery-deli Email Info@mrspumpkins

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LUNCH ORDER FORM Mrs Pumpkins Bakery-Deli Email [email protected] Phone 336.924.9797 Fax 336.924.9599 Website: www.mrspumpkins.com Date of Delivery: Employee of : Day of the week: Meal Time: Email Address: Delivery Time: Date Order placed: Cell Phone #Desk Phone # Order taken by: Credit card number Company/Organization Person Placing Order: CSV:_______ Their phone #: MINIMUM ORDER Delivery Location: Local - 10 Lunches Out of Town - $300 order Where to place food: DELIVERY Within 5 miles - $10 Out of Town - Call for quote Delivery Contact Person: Notes: Desk Phone # Exp. Date: __________ Cell # Cold Food _____ Hot Food Boxed _____ Individual _____ Plattered _____ Buffet _____ Total ______ Desserts _____ Sandwiches Chess Bars _______ Salads Cookies _______ Sides (Choose 1) Hot Foods A (min order 8 each) Green Beans _____ 0. Pimento Cheese _____ 16. Mandarin _____ 25. Chicken Pie _____ Oven Roast Veggies: _____ 1. Chicken Salad _____ 17. Chicken/Grape _____ 26. Beef & Veg Pie _____ Rice _____ 2. Turkey/Muenster _____ 18. Chef _____ 27. Beef Lasagna _____ Mash Potato _____ 3. Ham/Swiss _____ 19. Grilled Chicken _____ 28. Veggie Lasagna _____ Ranch Potato _____ 4. Roast Beef _____ 20. Chicken Caesar _____ 29. Quiche - Meat _____ Pumpkin Muffin _____ 5. Tuna _____ 21. Greek _____ 29. _____ 6. Italian Sub _____ 22. Garden Veg _____ French Bread _____ Hot Foods B (min order 8 each) Salad & Dressing 23. Chicken Salad _____ 30. Chicken Tettrazini _____ Wraps Quiche - Veggie _____ Drinks 7. Oriental Chicken _____ 23. Tuna Salad _____ 31 Marinaded Chicken _____ Sweet Tea _____ 8. Turkey/Red Pepper _____ 24. Spinach _____ 32. Teriyaki Chicken _____ Unsweet Tea _____ 9. Veggie Wrap _____ Chicken Parmesan _____ Lemonade _____ 10. Chicken/SunDried Tom _____ Asst. _____ 34. _____ Water _____ 11. Turkey/Apple/Cran _____ Broccoli____ Pasta _____ 35. Roast Pork _____ Diet Soda _____ 12. Chicken Thai _____ Potato _____ 3Bean______ 36. Turkey & Stuff. _____ Regular Soda _____ 13. Italian Meat _____ Moravian Slaw _____ 37. Baked Salmon _____ 38. Baked Spaghetti _____ Deli Salads 33. ICE YES / NO