Triad Panera Order Form

Triad Panera Order Form

Panera
Visit www.livelung.org for more information about LiveLung.
Name*

First NameLast Name
Email*
example@example.com
My order is:*

Whole SandwichWhole Salad1/2 Sandwich & 1/2 Salad
Please choose your sandwich, salad, or 1/2 sandwich & 1/2 salad:*

Roasted Turkey & Avocado BLT SandwichMediterranean Veggie SandwichDeli Turkey SandwichBacon Turkey Bravo SandwichSmokehouse BBQ Chicken SandwichNapa Almond Chicken Salad SandwichTuna Salad SandwichNEW - Deli Ham SandwichToasted 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)NEW - Black Forest Ham & Gouda Melt - Toasted Baguette (only available as a full sandwich)NEW - Pepperoni Mozzarella Melt – Toasted Baguette (only available as a full sandwich)NEW - Smoky Buffalo Chicken Melt – Toasted Baguette (only available as a full sandwich)NEW - Green Goddess Caprese Melt – Toasted Baguette (only available as a full sandwich)NEW - Southwest Caesar Salad with ChickenNEW - Southwest Caesar SaladGreen Goddess Cobb Salad with ChickenCitrus Asian Crunch Salad with ChickenBBQ Chicken SaladAsian Sesame Salad with ChickenCaesar Salad with ChickenGreek Salad with ChickenFuji Apple Salad with ChickenNEW - Seasonal Greens SaladNEW - Seasonal Greens Salad with Chicken
Salads - choose 1 dressing:

Greek DressingApple Cider Vinegar BBQ SauceChipotle AioliWhite Balsamic Apple VinaigretteCaesarAsian Sesame VinaigretteGreen Goddess Dressing
Choose 1 side:*

French BaguetteChipsAppleNo side
Choose 1 dessert:*

Chocolate chip cookieCandy cookieOatmeal Raisin with Berries CookieBrownie
Order Instructions - (ie, no olives):
Should be Empty:

Triad Panera Order Form

Visit www.livelung.org for more information about LiveLung.