LAKEWOOD ELEMENTARY – OCTOBER HOT LUNCH ORDER FORM
***ORDERS DUE: WEDNESDAY, SEPTEMBER 23, 2015***
***NO LATE OR PHONE ORDERS ACCEPTED***
Student Name:_________________________ Homeroom Teacher: ________________________
TUESDAY – PIZZA
October 13th
____ at $1.50 each =
October 20th
____ at $1.50 each =
October 27th
____ at $1.50 each =
Total Pizza Order: $
FRIDAY – HOT LUNCH
October 9th - Panzerotti
____ at $3.50 each =
October 16th – Turkey Sub
____ at $3.50 each =
October 23rd – Chicken Wrap
____ at $3.50 each =
October 30th - Pita PitComplete attached form
____ at $4.50 each =
Total Friday Hot Lunch Order: $
(Total of Tuesday and Friday Orders) GRAND TOTAL:
An order form must be completed for EACH child and with the child’s name indicated
on the form.
Please send payment with EACH child. DO NOT COMBINE PAYMENTS!
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
o Cheque
o Cash