April Wednesday Night Dinner Reservation
If the reservations for your family are the same for each week, use one form. If not, fill out one form per person.
I'd like to make a reservation for: (check all that apply)
April 7 - Ham, Green Beans, Mac & Cheese, Biscuits, Dessert, Drinks
April 14 - Fried Chicken, Cabbage, Yellow Rice, Cornbread, Dessert, Drinks
April 21 - Shepherd Pie, Mixed Vegetables, Salad, Rolls, Dessert, Drinks
April 28 - Pulled Pork, Baked Potato, Coleslaw, Baked Beans, Dessert, Drinks
I will receive my meal by:
Pick up and I am willing to deliver to someone else
Please arrange for my meal(s) to be delivered
I will eat in the J O Smith Building
Number of adult meals needed (11-64 years old) ($7)
Number of children or senior meals (4-10 yrs or 65+) ($5) Family max $22
How will you pay for your meals?
I will pay online at
I will mail a check to P. O. Box 541 Zip 39818
I will bring payment to the office.
I will pay each week at the door. (exact change or check please)
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