Eggroll and Fried Rice Fundraiser Order Form

About

The Hmong Institute empowers community through education, health, and
preservation of Hmong heritage. Our services are made possible through
donations, grants, fees, volunteers, and fundraising events.

Support our mission and our programs by ordering our delicious, hand-made
eggrolls and fried rice! All proceeds support Hmong youth, women & senior activities.

Half of your order is tax deductible!

Please note: there is a 3.5% credit card fee that is automatically added to your order. Should you prefer to pay with cash or check, please email info@thehmonginstitute.org for a paper form.

Please reach out to info@theHmongInstitute.org with any questions.

Instructions

1. Indicate the amount of each product and size you want in the designated “Quantity” box.

2. Select your choice of sauce under each type of eggroll.

4. Indicate your preferred pickup time and date.

5. Pay via this form with credit/debit card.

6. Print off your confirmation email and come to pick up your order at the time and date indicated. (4402 Femrite Drive, Madison, WI 53716)

Order Deadlines for Pick-Up

Order Deadline: Friday, August 1st, 2025

Pick Up: Wednesday, August 6th, 2025

Name*

First NameLast Name

Address*

Street Address

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Order Menu Instructions

Please following the following instructions to ensure your order is placed correctly

Select your type of eggroll/fried rice
Select your desired quantity
Enter your credit card information
Select your desired pick up time and date
Click on the "Submit" button

Order Menu*

Hmong Eggroll (pork) - HALF DOZEN Product Image

Hmong Eggroll (pork) - HALF DOZENIngredients: pork, carrot, cabbage, onion, noodle, egg, oyster sauce, black pepper, chicken flavor, and salt. Note: You can freeze and reheat!

$25.00 QuantitySauce

Hmong Eggroll (pork) - ONE DOZEN Product Image

Hmong Eggroll (pork) - ONE DOZENIngredients: pork, carrot, cabbage, onion, noodle, egg, oyster sauce, black pepper, chicken flavor, and salt. Note: You can freeze and reheat!

$40.00 QuantitySauce

Vegetable Eggroll - HALF DOZEN Product Image

Vegetable Eggroll - HALF DOZENIngredients: carrot, cabbage, onion, noodle, egg, oyster sauce, black pepper, chicken flavor, and salt. Note: You can freeze and reheat!

$25.00 QuantitySauce

Vegetable Eggroll - ONE DOZEN Product Image

Vegetable Eggroll - ONE DOZENIngredients: carrot, cabbage, onion, noodle, egg, oyster sauce, black pepper, chicken flavor, and salt. Note: You can freeze and reheat!

$40.00 QuantitySauce

Fried Rice (Chicken) - SMALL Product Image

Fried Rice (Chicken) - SMALLIngredients: rice, chicken, onion, egg, carrot, black pepper, salt, oyster sauce, soy sauce, chicken flavor, and green onion.

$15.00 Quantity

Fried Rice (Chicken) - LARGE Product Image

Fried Rice (Chicken) - LARGEIngredients: rice, chicken, onion, egg, carrot, black pepper, salt, oyster sauce, soy sauce, chicken flavor, and green onion.

$25.00 Quantity

Fried Rice (Vegetable) - SMALL Product Image

Fried Rice (Vegetable) - SMALLIngredients: rice, onion, egg, carrot, black pepper, salt, oyster sauce, soy sauce, chicken flavor, and green onion.

$15.00 Quantity

Fried Rice (Vegetable) - LARGE Product Image

Fried Rice (Vegetable) - LARGEIngredients: rice, onion, egg, carrot, black pepper, salt, oyster sauce, soy sauce, chicken flavor, and green onion.

$25.00 Quantity

Vegetarian Spring Roll - Three Piece Product Image

Vegetarian Spring Roll - Three PieceIngredients: noodle, lettuce, carrot, egg, cucumber, cilantro and mint wrap in rice paper.

$25.00 Quantity

Vegetarian Spring Roll - Six Piece Product Image

Vegetarian Spring Roll - Six PieceIngredients: noodle, lettuce, carrot, egg, cucumber, cilantro and mint wrap in rice paper.

$40.00 Quantity

Shrimp, Chicken Or Pork Spring Roll - 3 Piece Product Image

Shrimp, Chicken Or Pork Spring Roll - 3 PieceIngredients: Your choice of meat(Shrimp, Chicken or Pork), noodle, lettuce, carrot, egg, cucumber, cilantro and mint wrap in rice paper

$30.00

	Quantity
Chicken
Pork
Shrimp

Shrimp, Chicken Or Pork Spring Roll - 6 Piece Product Image

Shrimp, Chicken Or Pork Spring Roll - 6 PieceIngredients: Your choice of meat(Shrimp, Chicken or Pork), noodle, lettuce, carrot, egg, cucumber, cilantro and mint wrap in rice paper

$50.00

	Quantity
Chicken
Pork
Shrimp

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card

Select your preferred pick-up time*

2 :00 pm3:00 pm4:00 pm

Thank you for your continued support!

Please reach out to info@theHmongInstitute.org with any questions.

Type a question

Barcode

Hmong Eggroll Order Form

Credit Card