Hot Lunch Order Form
Each Meal is $5.00 and includes chips, and a drink.
Email address *
FOR THE LAST 3 WEEKS OF NOVEMBER 2018
Please Submit ONE FORM FOR EACH STUDENT.


**The deadline is Friday, November 9th.**


Student First Name *
Your answer
Student Last Name *
Your answer
Grade *
Mondays - Cheeseburger
Cheeseburger
Hamburger (no cheese)
none
11/12
11/19
11/26
Tuesdays - Burrito or Quesadilla
Burrito
Quesadilla
none
11/13
11/20
11/27
Wednesdays - Pizza
Cheese
perpperoni
2 Pepperoni (+$1 with meal)
2 Cheese (+$1 with meal)
none
11/28
Thursdays - Crispy Chicken Sandwich
Chicken Sandwich
Chicken Nuggets
none
11/29
Fridays - Corndog
Corndog
Hot Dog
none
11/30
Total number of lunches ordered for month *
Your answer
Total amount of money submitted to front office *
Write student names in memo line if paying by check
Your answer
PLEASE READ BEFORE SUBMITTING
**A copy of your order will be sent to your email.
**All payments must be submitted to the school office, BEFORE THE ORDER DEADLINE
**Confirmation receipt can be collected at the school office.
**No lunches will be distributed prior to payment.
**Please contact Mr. Mendoza with any questions regarding payment: mr.mendoza@sjm-k8.com
**Please contact Ms. Faecke regarding any unfilled orders: ms.faecke@sjm-k8.com
A copy of your responses will be emailed to the address you provided.
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