Maxie's Catered Experience Weekly Prepaid Platter Order

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Pre-order your delicious platter for Saturday pick-up or delivery (within 6 miles of Queen Lane Station). All prepaid orders must be submitted and paid in full by Friday at 9 PM.

Full Name for Order (Required) *

Phone Number (Required for confirmation/updates) *

Choose your Order Fulfillment Method *

Free Pick-up (Near Queen Lane Regional Rail Station, Germantown, Philadelphia, PA)

Delivery ($10 Fee - within a 6 mile radius of Queen Lane Regional Rail Station)

If Delivery, please provide your Full Delivery Address or type "N/A" for Pickup: *

Select your Preferred Pick-up Time Slot (Saturdays, 4:00 PM - 8:00 PM) *

Select Your Main Platter(s) - Price Per Platter

Maxie's Cajun Caribbean Surf & Turf Special Platter-$28

Crispy Cajun Bayou Bites Platter- $25

Island Sweet Heat Wing Platter- $19

Maxie's Caribbean Glazed Chicken Filet Platter- $22

Maxie's Coastal Salmon Filet Platter-$26

Select Your Side Add-On(s) - Price Per Side

Double Baked Four Cheese Max-n-Cheese- $6

Roasted Broccoli bites- $6

Yellow Rice- $6

Maxie's Coastal Catch Seafood Pasta Salad- $8

Caribbean Seafood Rice- $8

Payment Method for Pre-Order (Prepaid orders due by Fridat 9 PM) *

Payment Confirmation *

I confirm that payment for this order has been sent/will be sent immediately via the selected prepaid method (Cash App, ApplePay, or Chime). I understand my pre-order is not confirmed and food will not be prepared unless payment is received by Thursday 8 PM.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Maxie’s Catered Experience.

Does this form look suspicious? Report

Forms