2019 Super Bowl Chirashi Pick- up orders on February 3 from 11:00-12:00 noon.
Pre-sale price of chirashi is $7.00. Pre-orders are due by January 26th.
Payment of online purchases can be made at pick-up by cash, check or credit card.
Any orders not picked up by 12 will be considered a donation and sold.
Email address *
Chirashi ready to go! Sushi rice seasoned with shiitake, carrots, age, peas, kamaboko, kinshi tamago. Served with red ginger.
Your Name Please (First Last) *
Your answer
Phone number you can be reached on February 3rd. Please include your area code. *
Your answer
How many orders would you like? Please type numeric (1, 2, 3, etc) symbol below. *
Your answer
Would you like to have your chirashi order placed on a serving dish you will provide? If yes, serving dish needs to be delivered to the temple on Sunday (2/3) by 9:30 am. Otherwise it will be packed individually. *
If order is being picked up by someone else (not you), please share this name with us below:
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service