Triad Panera Order Form
Panera
Visit www.livelung.org for more information about LiveLung.
Name
*
First Name
Last Name
Email
*
example@example.com
My order is:
*
Whole Sandwich
Whole Salad
1/2 Sandwich & 1/2 Salad
Please choose your sandwich, salad, or 1/2 sandwich & 1/2 salad:
*
Roasted Turkey & Avocado BLT Sandwich
Mediterranean Veggie Sandwich
Bacon Turkey Bravo Sandwich
Smokehouse BBQ Chicken Sandwich
Napa Almond Chicken Salad Sandwich
Tuna Salad Sandwich
Deli Ham Sandwich
Deli Turkey Sandwich
NEW - Sierra Turkey Sandwich
NEW - Steak and Garlic Aioli Sandwich
Toasted Frontega Chicken Sandwich (only available as a full sandwich)
Chipotle Chicken Avocado Sandwich (only available as a full sandwich)
Toasted Steak & White Cheddar Sandwich (only available as a full sandwich)
Black Forest Ham & Gouda Melt - Toasted Baguette (only available as a full sandwich)
NEW - Chicken and Pepperoni Mozzarella Melt (only available as a full sandwich)
Pepperoni Mozzarella Melt – Toasted Baguette (only available as a full sandwich)
Smoky Buffalo Chicken Melt – Toasted Baguette (only available as a full sandwich)
Green Goddess Caprese Melt – Toasted Baguette (only available as a full sandwich)
NEW - Chicken Green Goddess Caprese Melt (only available as a full sandwich)
NEW - Chicken Cordon Bleu Melt (only available as a full sandwich)
Southwest Caesar Salad with Chicken
Southwest Caesar Salad
Green Goddess Cobb Salad with Chicken
Citrus Asian Crunch Salad with Chicken
Citrus Asian Crunch Salad
Asian Sesame Salad with Chicken
Asian Sesame Salad
Caesar Salad with Chicken
Caesar Salad
Greek Salad with Chicken
Greek Salad
Fuji Apple Salad with Chicken
Fuji Apple Salad
Seasonal Greens Salad with Chicken
Seasonal Greens Salad
Salads - choose 1 dressing - Please note these are the ONLY dressing options:
Greek Dressing
Apple Cider Vinegar BBQ Sauce
Chipotle Aioli
White Balsamic Apple Vinaigrette
Caesar
Asian Sesame Vinaigrette
Green Goddess Dressing
Tangerine Soy Ginger Dressing
Teriyaki Sauce
No Dressing
Choose 1 side:
*
French Baguette
Chips
Apple
Seasonal Fruit Cup
No Side
Choose 1 dessert:
*
Chocolate chip cookie
Candy cookie
Lemon Drop Cookie
Oatmeal Raisin with Berries Cookie
Brownie
Seasonal Fruit Cup
Apple
No Dessert
Order Instructions - (ie, no olives):
Submit
Should be Empty: