NOVEMBER Lunch Order Form

Cost of Lunch:
$5.25 per meal x 16 school days = $84.00 per child
$0.40 per meal for reduced-price x 18 school days = $6.40 per child

Lunch service for NOVEMBER 2018 will begin on Thursday, November 1 . Please see the attached November lunch menu.
Lunch includes a USDA-approved meal and milk from Hale Kealoha.

Please use this form to order your keiki lunch(es) for the month of November

Upon completing this form, you will have the OPTION to click on the link in the last question to make an online payment using your credit card.
If you wish to pay other than credit card, please submit payment to the OFFICE or in the TUESDAY FOLDER in an envelope, labeled with your child's name, amount of money in the envelope and labeled "LUNCH"

*Please make checks payable to Malama Honua PCS.

Lunch orders and payments are due on or before October 28, 2018.

If your child is asked to bring HOME LUNCH for a huaka'i, you will not be charged for that days lunch.

This institution is an equal opportunity provider.

Email address *
Untitled Title
NOVEMBER 2018 Lunch Menu
STUDENT Last Name *
Your answer
Keiki Name *
Your answer
Keiki Name (if you have more than ONE keiki)
Your answer
Keiki Name (if you have more than TWO keiki)
Your answer
Please select the number of lunches you would like to order at ST. MATTHEWS SITE (ONE per child) Kindergarten-2nd Grade *
Please select the number of lunches you would like to order at CTEEC SITE (ONE per child) 3rd grade - 6th grade *
Please calculate and enter total amount due: cost of lunch x number of lunch(es) ordered= total (i.e $94.50 x 2 =$189.00) Enter "189.00". If your total is $0.00, enter "0". *
Your answer
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