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Order Request
Fill out this order form for the Take & Bake options for Valentine's Day. Special is available for Friday, February 12th & Saturday February 13th.
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* Indicates required question
Email
*
Your email
Date of Pickup
*
Friday, February 12th
Saturday, February 13th
Required
Time of Pickup, in Central Time
*
Time
:
AM
PM
Please Choose two entrees, if you want 2 of the same make sure and check that box as well.
*
Ribeye MED
Grilled Chicken
Pork Chops
Pork Ribeye
Salmon
Same entrees on both
Required
What side would you like with your meal?
*
Baked potatoes
Sweet Potatoes
Hash brown casserole
Sweet potato casserole
Required
What other side item with your meal?
*
Salad, make sure to list your dressing
Slaw
Select 2 slices of dessert
*
Your answer
Additional Requests
Your answer
Contact info
Your name
*
Your answer
Phone number
*
Your answer
E-mail
Your answer
Questions and comments
Your answer
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