Music Department Pasta Dinner
LUNCH PRE-ORDER
Tuesday, January 22, 2013
Business Name:
Please Print Name
THANK YOU!
Business Phone:
Business Address:
Lunch Time:
Name
Name
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
FAX ORDER TO: 815-740-5957 By 1/18/2013
Questions? Call Mr. Shaw at 815-740-3196.
We will deliver lunches to businesses with orders of 5 or more lunches.
We will collect $5.00 per lunch upon delivery.
Referring Student____________________________________________