Take-Away Food Order

Take-Away Order Form
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Frozen Meals - store in freezer and heat when required.

FINALISE ORDER
TOTAL COST OF ORDER ($)
Member Name*

First NameLast Name
Member Number*
Phone Number*
Email*
example@example.com
PICK-UP FROM THE QUEENSLAND CLUB ONLY
Members are able to drive down the laneway, and delivery will be made to the Members cars.

Pick-up Times: Pick up is available between 10am - 3pm, Monday to Friday.

Refrigeration: Please note items will not be supplied in refrigerated packaging. Please bring a cool pack for collection, if items will not be refrigerated immediately from pick-up.
Pick-up Date*

DayMonthYear
Date
Pick-up Time*

:HourMinutesAM/PM Option
Do you have any dietary requirements?
Do you have any additional information or instructions?
Important Reminders
- After submitting this form, we'll check your order and we'll contact you with confirmation of your order.
- Refrigeration: Please note items will not be supplied in refrigerated packaging. Please bring a cool pack for collection, if items will not be refrigerated immediately from pick-up.
- Items subject to availability from suppliers.
Should be Empty:

Take-Away Order Form