Hot Lunch Order Form With Milk

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LAKEWOOD ELEMENTARY – NOVEMBER & DECEMBER HOT LUNCH ORDER
***ORDERS DUE: TUESDAY, NOVEMBER 10 2015***
***NO LATE OR PHONE ORDERS ACCEPTED***
Student Name: _________________________ Homeroom Teacher: ________________________
TUESDAY – PIZZA
November 17th
____ at $1.50 each =
November 24th
____ at $1.50 each =
December 1st
____ at $1.50 each =
December 8th
December 15th
____ at $1.50 each =
____ at $1.50 each =
Total Pizza Order: $
FRIDAY – HOT LUNCH
November 20th - Chicken
Fingers & Potato Wedges
November 27th – Turkey Wrap
____ at $3.50 each =
____ at $3.50 each =
December 4 th- Panzerotti
____ at $3.50 each =
December 11th – Ham Sub
____ at $3.50 each =
December 18 th – Mini Tacos
____ at $3.50 each =
Total Friday Hot Lunch Order: $
Milk ($12.00/includes
months of Nov & Dec)
__Chocolate or __White $
*Milk starts Nov 16th
(Total of ALL Orders) GRAND TOTAL:
$
An order form must be completed for EACH child, with the child’s name on the form.
Milk orders and pizza/hot lunch orders can now be combined onto ONE CHEQUE. For
families with MULTIPLE children please attach forms for EACH child along with ONE cheque
to the youngest sibling’s classroom.
We prefer the orders to be paid by cheque, made payable to “Lakewood Elementary”.
Paying by cash MUST be paid with EXACT change as change cannot be given, and will be
considered a donation to the school.
PLEASE NOTE: If your child is away on a food day, the food item will NOT be saved or refunds
given.
OFFICE USE ONLY
Pizza/Hot Lunch
Cheque
Cash
Milk
Cheque
Cash
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