Order Request
After you fill out this order request, we will contact you to go over details and availability before the order is completed. If only ordering individual meals, there is a minimum requirement of 6 individual meals per order. We deliver to most locations for zero additional charge.
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Email *
Your name *
Delivery Address *
Phone number *
Preferred contact method *
Required
Have your ordered with us before? *
What date are you ordering for? *
MM
/
DD
/
YYYY
What time are you ordering for? *
Time
:
Rice
Teriyaki Chicken
Shrimp
Veggies (broccoli, zucchini, carrots, green peppers)
Mushrooms
Onions
Individual Teriyaki Chicken Meal (rice, teriyaki chicken, mushrooms, onions, yum yum sauce)
Individual Shrimp Meal (rice, shrimp, mushrooms, onions, yum yum sauce)
Individual Teriyaki Chicken & Shrimp Meal (rice, teriyaki chicken, shrimp, mushrooms, onions, yum yum sauce)
Individual Veggie (rice, carrots, green peppers, zucchini, broccoli, mushrooms, onions, yum yum sauce)
Yum Yum Sauce 16oz
Yum Yum Sauce 32oz
Please let us know here if you have any special requests.  *
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