October 2019 ORDER DUE 9/26
A-$4.00
B-$5.00
C-$5.50
D-$6.00

All lunches include 2 sides & dessert (Milk is NOT included)
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Grade *
Select pizza preference below.
Pizza preference
TACO TUESDAY - 10/1 *
PIZZA - WED 10/2 *
PULLED PORK SANDWICH - THUR 10/3 *
CHICKEN PATTY SANDWICH - FRI 10/4 *
CHICKEN PASTA ALFREDO - MON 10/7 *
TACO TUESDAY - 10/8 *
PIZZA - WED 10/9 *
BLT SANDWICH - THUR 10/10 *
SAUSAGE MUFFINS - FRI 10/11 *
SLOPPY JOES - MON 10/14 *
TACO TUESDAY - 10/15 *
PIZZA - WED 10/16 *
CHICKEN NACHOS - THUR 10/17 *
CHICKEN NOODLE SOUP - FRI 10/18 *
CHICKEN GYRO BAR - MON 10/21 *
TACO TUESDAY - 10/22 *
PIZZA - WED 10/23 *
BURGER BAR - THUR 10/24 *
BISCUITS AND GRAVY - FRI 10/25 *
BACON CHEESEBURGER QUESADILLA - MON 10/28 *
TACO TUESDAY - 10/29 *
PIZZA - WED 10/30 *
CHICKEN AND DUMPLINGS - THUR 10/31 *
PLEASE CALCULATE TOTAL AMOUNT OWED *
* A-$4.00 B-$5.00 C-$5.50 D-$6.00
Your answer
DON'T FORGET TO WRITE THE DAYS YOU ORDERED LUNCH ON YOUR CALENDAR. LUNCH PAYMENTS ARE DUE BY THE 10TH OF EVERY MONTH.
PAID *
Submit
Never submit passwords through Google Forms.
This form was created inside of Livingston Christian Schools. Report Abuse - Terms of Service